Amber B Matthysse in Wyoming - Physician Assistant
Amber B Matthysse - NPI 1558455311
Amber B Matthysse is a Physician Assistant in Wyoming, Michigan. Amber B Matthysse practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amber B Matthysse is 1558455311. The last update date is 2022-02-18.
Amber B Matthysse's current location address is 1673 Gezon Pkwy Sw, Wyoming, Michigan. You can contact this provider via phone number 6162433376 and fax number 6162433377. The mailing address for Amber B Matthysse is 1673 Gezon Pkwy Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amber B Matthysse |
|---|---|
| Address | 1673 Gezon Pkwy Sw, Wyoming, Michigan |
| Phone Number | 6162433376 |
| Fax Number | 6162433377 |
| Sole Proprietor | N |
| Credentials | MS PA-C |
NPI Number Detail
| NPI Number | 1558455311 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2022-02-18 |
Provider Mailing Address Detail
| Address | 1673 Gezon Pkwy Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 495199520 |
| Phone Number | 6162433376 |
| Fax Number | 6162433377 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601003436 |
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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 |
|---|---|---|---|
| MI11296005 | MI | PTAN | |
| 1047265 | MI | PA CERTIFICATION | |
| 5601003436 | MI | PA LICENSE | |
| 1153321047 | PECOS ID | ||
| 1558455311 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amber B Matthysse?
The Amber B Matthysse has been issued the NPI (National Provider Identifier) 1558455311 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Amber B Matthysse is geographically located?
The Amber B Matthysse is physically situated at the following location: 1673 Gezon Pkwy Sw, Wyoming, MI, 495199520.
What is the Amber B Matthysse's specialty and taxonomy code?
The Amber B Matthysse's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1558455311 assigned to Amber B Matthysse?
The Amber B Matthysse was issued its 1558455311 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amber B Matthysse most recently updated?
The details pertaining to the Amber B Matthysse, including its address, specialty, and other relevant information, were last refreshed on 2022-02-18.