Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 6

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Surgical Physician Assistant Providers

NPI Name Type Address

1801952015

MPAS, PA-C Michael J Rutter

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1548228398

PA-C Kelly Anne Rayburn

Individual

1100 Wilford Hall Loop

Jbsa Lackland, TX

1497998504

PHYSICIAN ASSISTANT Carl Edward Bemis

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1083080691

MS. PA-C, DSC, MPAS Chanise Cyrus

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1437119195

MR. PA-C Joseph Marshall Bartle II

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1235399759

DR. DSC, PA-C Benjamin Kristian Kocher

Individual

Wilford Hall Ambulatory Surgical Center

2200 Bergquist Drive

Jbsa-lackland, TX

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