Matthew Joseph Berria in Fruitland - Physician Assistant
Matthew Joseph Berria - NPI 1982791810
Matthew Joseph Berria is a Physician Assistant in Fruitland, Idaho. Matthew Joseph Berria practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew Joseph Berria is 1982791810. The last update date is 2023-08-16.
Matthew Joseph Berria's current location address is 1100 Nw 12th St, Fruitland, Idaho. You can contact this provider via phone number 2084526556 and fax number 5412166557. The mailing address for Matthew Joseph Berria is 1100 Nw 12th St, Fruitland, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Joseph Berria |
|---|---|
| Address | 1100 Nw 12th St, Fruitland, Idaho |
| Phone Number | 2084526556 |
| Fax Number | 5412166557 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1982791810 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2023-08-16 |
Provider Mailing Address Detail
| Address | 1100 Nw 12th St |
|---|---|
| City | Fruitland |
| State | Idaho (ID) |
| Post Code | 836195040 |
| Phone Number | 2084526556 |
| Fax Number | 5412166557 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00573 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1040302 | PACIFIC SOURCE | ||
| 805031400 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Matthew Joseph Berria?
The Matthew Joseph Berria has been issued the NPI (National Provider Identifier) 1982791810 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Matthew Joseph Berria?
The Matthew Joseph Berria is situated at 1100 Nw 12Th St, in the city of Fruitland, state of ID, with the zip code 836195040.
What is Matthew Joseph Berria's area of expertise and its corresponding taxonomy classification?
The Matthew Joseph Berria's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Matthew Joseph Berria receive its 1982791810 assignment?
The Matthew Joseph Berria was assigned its 1982791810 on 2006-10-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Matthew Joseph Berria last refreshed?
The information related to the Matthew Joseph Berria, including its address, specialty, and other relevant details, was last updated on 2023-08-16.