physician assistants
applications for supervising physicians
physician assistant licensure information
licensee profile & status
on-line change of address
on-line license renewal
on-line verification form
lost wallet or wall certificate
name change affidavit
certificate to practice numbers information
application for certificate to practice
cme
national commission on certification of physician assistants (NCCPA)
treatment & compliance supervisory plan
alternate supervising physician form
supervision agreement
addendum for multiple Physician Assistants
addendum for multiple Supervising Physicians
special services application
physician assistant policy committee
calendar
minutes
frequently asked questions
statutes
rules
physician assistant policy committee Members (PAPC)
Michael Bowen PA-C
Anquenette Sloan, Consumer Member
Lance Talmage, M.D., Medical Board Member Robert Zaayer, PA-C Eugene Imbrogno, M.D. David Ballinger, PA-C John M. Jonesco, D.O.
Debra Parker, PharmD
Kevin Mitchell, RPh
board staff liaison
Cathy Hacker, P.A. Program Administrator cathy.hacker@med.state.oh.us
ph: (614) 466-7297
fx: (614) 644-1464
Sallie Debolt, General Counsel sallie.debolt@med.state.oh.us
ph: (614) 644-7021
fx: (614) 728-5946
home contact Ohio.gov
licensee profile & status frequently asked questions board policies & positions professional guidelines Ohio revised code Ohio administrative code
