Matt Douglas in Hutchinson - Physician Assistant
Matt Douglas - NPI 1750354643
Matt Douglas is a Physician Assistant in Hutchinson, Kansas. Matt Douglas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matt Douglas is 1750354643. The last update date is 2023-09-18.
Matt Douglas's current location address is 2101 N Waldron St, Hutchinson, Kansas. You can contact this provider via phone number 6206692500. The mailing address for Matt Douglas is 2101 N Waldron St, Hutchinson, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matt Douglas |
|---|---|
| Address | 2101 N Waldron St, Hutchinson, Kansas |
| Phone Number | 6206692500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1750354643 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2023-09-18 |
Provider Mailing Address Detail
| Address | 2101 N Waldron St |
|---|---|
| City | Hutchinson |
| State | Kansas (KS) |
| Post Code | 675021131 |
| Phone Number | 6206692500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 15-00848 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100425400A | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matt Douglas by the Centers for Medicare & Medicaid Services?
The Matt Douglas has been assigned the NPI (National Provider Identifier) 1750354643. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Matt Douglas?
The Matt Douglas is situated at 2101 N Waldron St, in the city of Hutchinson, state of KS, with the zip code 675021131.
What is the area of specialization for Matt Douglas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matt Douglas is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1750354643 assigned to Matt Douglas?
The Matt Douglas was issued its 1750354643 on 2006-02-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Matt Douglas last refreshed?
The information related to the Matt Douglas, including its address, specialty, and other relevant details, was last updated on 2023-09-18.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA