MR. JON-MARC THIBODEAU PA-C
NPI 1003119744
Physician Assistant in Fort Leonard Wood, MO

Q: What is Jon-marc Thibodeau's NPI number?

The NPI number for Jon-marc Thibodeau is 1003119744. It was assigned to this individual provider in the NPPES registry on December 20, 2010.

Q: What is Jon-marc Thibodeau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since December 20, 2010

4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-0035 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Jon-marc Thibodeau Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JON-MARC THIBODEAU PA-C (NPI 1003119744) is an individual physician assistant in Fort Leonard Wood, Missouri, licensed in (1095643) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1003119744

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JON-MARC THIBODEAUCredential: PA-C

Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098

Mailing Address4430 Missouri Ave # 1267Fort Leonard Wood, MO 65473-9098 · (573) 596-0035

Phone(573) 596-0035

Sole ProprietorNo

Enumeration DateDecember 20, 2010

Last NPPES UpdateFebruary 16, 2023

NPPES CertifiedFebruary 16, 2023

✔ NPI 1003119744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed · 1095643

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4430 MISSOURI AVE, Fort Leonard Wood, MO 65473

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