MR. THOMAS MATTHEW MATTOX JR.


Address: 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218-7273
Phone: 9042233321

MR. THOMAS MATTHEW MATTOX JR. (NPI# 1003249004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003249004
Entity Type Individual
Full Name MR. THOMAS MATTHEW MATTOX JR.
Credential PA-C
Practice Address 15255 Max Leggett Pkwy Ste 5500
Jacksonville
FL 32218-7273
Mailing Address 10475 Centurion Pkwy N Ste 201
Jacksonville
FL 32256-5004
Practice Telephone 9042233321
Mailing Telephone 9042233321
Enumeration Date 2013-08-13
Last Update Date 2020-11-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171100000X Acupuncturist AP 3783 FL Other Service Providers
N 171100000X Acupuncturist AC 15206 CA Other Service Providers
Y 363A00000X Physician Assistant PA9113748 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers THOMAS MATTOX

NPI Name Taxonomy Address Enumeration
1437113537 Thomas F Mattox Obstetrics & Gynecology 2 Medical Park Rd Ste Ll9/10, Columbia, SC 29203-6839 2006-04-14
1518917137 Thomas Keith Mattox Physician Assistant 1100 Tunnel Road, Va Medical Center, Asheville, NC 28805 2006-05-12

Office Location

Street Address 15255 MAX LEGGETT PKWY STE 5500
City JACKSONVILLE
State FL
Zip Code 32218-7273

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225689599 Taylor Gregory Trace Physician Assistant 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218-7273 2019-09-26
1760976260 Jacksonville Spine Center Pa Pain Medicine 15255 Max Leggett Pkwy Ste 5500, Jacksonville, FL 32218-7273 2018-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684170 Damon Lamar Baker Nurse Practitioner 12533 Sampson Rd, Jacksonville, Fl, FL 32218 2020-09-21
1578199303 First Coast Health Ventures, LLC Skilled Nursing Facility 15480 Max Leggett Parkway, Jacksonville, FL 32218 2020-03-12
1932679594 Alaina Rachelle Stanley Counselor 11683 Spring Board Dr, Jacksonville, FL 32218 2018-11-27
1508345133 War Cry Ministry Inc Counselor 435 Eric Ave, Jacksonville, FL 32218 2018-08-14
1285111484 St Vincent's Full Service Urgent Care, LLC Clinic/Center 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 2018-07-20
1427544501 Derrick Roberts Behavioral Analyst 11302 Forestdale Rd, Jacksonville, FL 32218 2018-07-02
1215420229 Companion & Compassion LLC Home Health 856 Poydras Ln W, Jacksonville, FL 32218 2018-06-13
1952894784 Michael Alexander Aaro Dentist 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 2018-06-06
1235629445 Melissa C Moree Counselor 13453 Main St. North, Suite 104, Jacksonville, FL 32218 2018-05-14
1861900896 Sheila Nowlin Physical Therapist 1034 Dunn Ave, Jacksonville, FL 32218 2018-01-11
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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