Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 19

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Surgical Physician Assistant Providers

NPI Name Type Address

1053373696

P.A.-C. Traci N St Clair

Individual

1229 E Seminole St

Springfield, MO

1841398153

MRS. P.A. Libia Chandler

Individual

3800 S National Ave Fl 4

Springfield, MO

1205898459

PA-C Darin C Fincher

Individual

2115 S Fremont Ave

Suite 5000

Springfield, MO

1598863045

MRS. P.A.-C Melissa Anderson

Individual

3800 S National Ave Fl 4

Springfield, MO

1831337765

PA Cynthia R. Krinochkin

Individual

3801 S. National,

5th Floor

Springfield, MO

1891033973

PA-C Andrew Christian Vandas

Individual

4350 S National Ave

Suite C200

Springfield, MO

1598004152

PA Todd Phillip Decarlis

Individual

2900 S National Ave

Springfield, MO

1972557114

P.A. Mathew Clayton Reid

Individual

1229 E Seminole St

Suite 320

Springfield, MO

1427156777

MR. P.A. Dallas Gilion

Individual

3555 S National Ave Fl 2

Springfield, MO

1518914985

P.A. Ronald Alvin Mccall

Individual

3555 S National Ave

Springfield, MO

1619075975

MR. P.A. Chad Nall

Individual

3555 S National Ave Fl 2

Springfield, MO

1316320740

P.A. Calen Coyle

Individual

3801 S National Ave

Springfield, MO

1760955199

PA-C Haley Jo Ponder

Individual

3801 S National Ave

Springfield, MO

1609400647

Frances Claire Theisen

Individual

3800 S National Ave Ste 600

Springfield, MO

1841827854

PA Chad Oliver

Individual

3800 S National Ave Fl 4

Springfield, MO

1821599382

P.A. Blake Andrew Martin

Individual

3801 S National Ave Ste 700

Springfield, MO

1982651352

P.A. Mark Allen Brown

Individual

3801 S National Ave

West Tower, Suite 700

Springfield, MO

1164649471

PA-C Heather D. Tackett

Individual

3801 S National Ave

West Tower, Suite 700

Springfield, MO

1558666420

P.A. Joshua Matthew Barbieri

Individual

3801 S National Ave

West Tower, Suite 700

Springfield, MO

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