Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 8

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Surgical Physician Assistant Providers

NPI Name Type Address

1437289329

MRS. PA-C Lesley Ann Placeway

Individual

64 Old Orchard Center

Suite 409

Skokie, IL

1043430812

MR. PAC Edwin Dewees Kyle III

Individual

9600 Gross Point Road

Rush North Shore Medical Center Dept Of Surgery

Skokie, IL

1447429790

SA Ray Basa

Individual

9600 Gross Point Rd

Skokie, IL

1497910871

SA Jeffrey Grubba

Individual

9600 Gross Point Rd

Skokie, IL

1245760891

PA-C Melanie Coderre

Individual

4709 Golf Rd Ste 1200

Skokie, IL

1114675311

Victoria Ngozi Anichebe

Individual

9600 Gross Point Rd Ste 1200

Skokie, IL

1417686833

MS. PA-C Madeline Rose Larsen

Individual

9650 Gross Point Rd Ste 2900

Skokie, IL

1164046942

PA-C Logan Barnes

Individual

9650 Gross Point Rd Ste 2900

Skokie, IL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AS0400X
Specialization Surgical
Display Name Surgical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Medical Physician Assistant

363AM0700X • providers: 36,490

Physician Assistant

363A00000X • providers: 122,072