Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 10

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Surgical Physician Assistant Providers

NPI Name Type Address

1013331271

MR. P.A.-C Geno Anthony Santangelo JR.

Individual

4605 Maccorkle Ave Sw

South Charleston, WV

1467876623

PA-C John Wright

Individual

4605 Maccorkle Ave Sw

South Charleston, WV

1750709226

PA-C Timothy Ford

Individual

4605 Maccorkle Ave Sw

South Charleston, WV

1184014128

Alice Stanley

Individual

4605 Maccorkle Ave Sw

South Charleston, WV

1316579949

PA-C Mary Rose Butcher

Individual

610 Chestnut St

South Charleston, WV

1639100266

P.A.C. Kristine K Agnew

Individual

4607 Maccorkle Ave Sw Ste 206

South Charleston, WV

1528437357

MR. PA-C Jory Christopher James Gotham

Individual

4607 Maccorkle Ave Sw Ste 401

South Charleston, WV

1780112557

PA-C Mark Edward Javins

Individual

610 Chestnut St

South Charleston, WV

1538437629

PA-C Justin Kiel Medlin

Individual

610 Chestnut St

South Charleston, WV

1194032227

PA-C Victoria Leigh Takubo

Individual

4610 Kanawha Ave Sw Ste 401

South Charleston, WV

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