Taxonomy Code 363AS0400X(363as0400x)
Surgical Physician Assistant. Providers: 90

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Surgical Physician Assistant Providers

NPI Name Type Address

1396121505

CSFA Regina Gantt

Individual

28 Valle Lindo Road

Peralta, NM

1518325919

Sks Assisting

Organization

11 Calle Pinon

Placitas, NM

1033494992

CSFA Sandra Seward

Individual

11 Calle Pinon

Placitas, NM

1790870970

PA-C Darcy C Cooke

Individual

4701 Montgomery Blvd Ne

Lovelace Medical Group Breast Care Center

Albuquerque, NM

1033386420

PA-C Patrick Keenan Shanley

Individual

1219 Gusdorf Rd Ste A

Taos, NM

1891150108

PA Erica Lankenau

Individual

630 W Maple St

Farmington, NM

1851355382

PA-C Iris Darby

Individual

2530 S Telshor Blvd

Suite 103

Las Cruces, NM

1093830440

PA-C Marcia Ann Jamison

Individual

2530 S Telshor Blvd

Suite 207

Las Cruces, NM

1730198391

P.A. Dixie June Reid

Individual

4701 Montgomery Blvd Ne

Lmg/breastcare

Albuquerque, NM

1023442209

Jessica Roscosky

Individual

2211 Lomas Blvd Ne

Albuquerque, NM

1659591279

Merrick Buckingham

Individual

1001 Dr Martin Luther King Jr Ave Ne

Albuquerque, NM

1699284570

PA-C Robert Blackstone

Individual

2211 Lomas Blvd Ne

Albuquerque, NM

1588635478

PA Fay Pepin

Individual

4701 Montgomery Blvd Ne

Albuquerque, NM

1720445562

MRS. PA-C Rebecca Gahan Brown

Individual

150 N Roadrunner Pkwy

Las Cruces, NM

1225564800

S.A. Mariam H Bokolishvili

Individual

1511 W Alameda St

Santa Fe, NM

1144712837

Eileen Shi

Individual

2400 Unser Blvd Se

Rio Rancho, NM

1972050383

PA-C David Wayne Young

Individual

502 Elm St Ne

Albuquerque, NM

1104119296

PA-C Lauren E. Atkinson

Individual

2400 Unser Blvd Se

Rio Rancho, NM

1083181051

PA Britteni Nicole Romero

Individual

150 N Roadrunner Pkwy

Las Cruces, NM

1255682944

Armstrong Medical Llc

Organization

13170 Central Ave Se

Suite B 345

Albuquerque, NM

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