John F Matista is a Medical in Everett, Washington. John F Matista practices all healthcare services and medical treatments related to Medical. The NPI Number for John F Matista is 1366435943. The last update date is 2007-12-12.
John F Matista's current location address is 1330 Rockefeller Ave, Everett, Washington. You can contact this provider via phone number 4252614910 and fax number 4252614911. The mailing address for John F Matista is 1330 Rockefeller Ave, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John F Matista |
|---|---|
| Address | 1330 Rockefeller Ave, Everett, Washington |
| Phone Number | 4252614910 |
| Fax Number | 4252614911 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366435943 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
| Address | 1330 Rockefeller Ave |
|---|---|
| City | Everett |
| State | Washington (WA) |
| Post Code | 982011684 |
| Phone Number | 4252614910 |
| Fax Number | 4252614911 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10004886 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8435968 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John F Matista by the Centers for Medicare & Medicaid Services?
The John F Matista has been issued the NPI (National Provider Identifier) 1366435943. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John F Matista's physical address?
The John F Matista is physically located at 1330 Rockefeller Ave, in the city of Everett, WA, with the postal code 982011684.
What is the John F Matista's area of specialization and corresponding taxonomy classification?
The John F Matista's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date was the 1366435943 assigned to John F Matista?
The John F Matista was issued its 1366435943 on 2005-08-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding John F Matista, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John F Matista, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-12.