Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 20

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Surgical Physician Assistant Providers

NPI Name Type Address

1255588828

PA(ASCP) Sandra Kay Potter

Individual

800 E Carpenter St

St. John's Hospital - Department Of Pathology

Springfield, IL

1467752220

SA-C Micah Lee Servis

Individual

747 N Rutledge St

5th Floor

Springfield, IL

1174634562

PA Kristin Blankenship

Individual

747 N Rutledge St

3rd Floor

Springfield, IL

1629592225

MR. Justin William Starling

Individual

1515 Keys Ave

Springfield, IL

1689218950

PA Rachel L Puckett

Individual

1025 S 6th St

Springfield, IL

1649805706

APN Sarah E. Treat

Individual

1025 S 6th St

Springfield, IL

1003351115

PA Jerry Priddy

Individual

1301 S Koke Mill Rd

Springfield, IL

1184045338

PA-C Marty C Wilson

Individual

1301 S Koke Mill Rd

Springfield, IL

1184933806

PA-C Nicole M. Wirtz

Individual

800 N 1st St

Springfield, IL

1730175894

PA-C Alyssa L Tusek

Individual

900 N 1st St

Springfield, IL

1508963604

PA Angelia K Royer

Individual

800 N 1st St

Springfield, IL

1477956811

Nathaniel Gregoire

Individual

800 N 1st St

Springfield, IL

1043405608

PA David W Purves

Individual

800 N 1st St

Springfield, IL

1417938077

PA-C Anthony L Grasch

Individual

315 W Carpenter St

2nd Floor

Springfield, IL

1124593462

PA-C Mackenzie Steen

Individual

315 W Carpenter St Fl 2

Springfield, IL

1447725478

PA-C Kara L Pratt

Individual

1301 S Koke Mill Rd

Springfield, IL

1124014865

MR. PA-C Jayson A Coble

Individual

1301 N Macarthur Blvd

Springfield, IL

1245850767

PA Zachary M Barnett

Individual

1301 S Koke Mill Rd

Springfield, IL

1003404864

Sydney Lynch

Individual

2901 Greenbriar Dr

Springfield, IL

1336397355

PA-C William Edward Greer IV

Individual

1025 S 6th St

Springfield, 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