MATTHEW ROBERT DORN (NPI# 1104224203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104224203 |
Entity Type | Individual |
Full Name | MATTHEW ROBERT DORN |
Credential | PA-C, LAT, ATC, CES |
Practice Address |
566 Ruin Creek Rd Henderson NC 27536-2927 |
Mailing Address |
3909 Riders Trl Hillsborough NC 27278-9353 |
Practice Telephone | 2524384143 |
Mailing Telephone | 7044778968 |
Enumeration Date | 2014-12-05 |
Last Update Date | 2020-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1682 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 363A00000X | Physician Assistant | 0010-10541 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
100 Hospital Dr, Louisburg, NC 275492256 | 9193408700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649762527 | Matthew Dorn | Student in an Organized Health Care Education/Training Program | 1420 Key Hwy, Baltimore, MD 21230-5546 | 2018-06-05 |
1649477209 | Matthew Carlton Dorn | Surgery | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7664 | 2007-06-28 |
Street Address |
566 RUIN CREEK RD |
City | HENDERSON |
State | NC |
Zip Code | 27536-2927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841295904 | Henderson Emergency Physicians, Pllc | Emergency Medicine | 566 Ruin Creek Rd, Henderson Emergency Physicians, Henderson, NC 27536-2927 | 2005-06-16 |
1639777212 | Clarissa Stephens | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-15 |
1447857016 | Victoria Mccloskey | Occupational Therapist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-10-06 |
1649883190 | Gloria Eun-sun Chun | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-5932 | 2020-08-25 |
1386270460 | Jacob Keith Poe | Nurse Anesthetist, Certified Registered | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2020-03-20 |
1821554643 | Claudia Kostich | Specialist/Technologist | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-17 |
1407312424 | Kevin Austin Rapp | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-02-14 |
1265905780 | Shakiera Whyte | Nurse Practitioner | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2019-01-08 |
1174006902 | Dlp Maria Parham Physician Practices LLC | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
1083197818 | Dlp Maria Parham Physician Practices LLC | Surgery | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2018-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
Find all providers in zip 27536 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
1982241261 | Anna Liang | Physician Assistant | 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 | 2019-12-05 |
1194369710 | Brooke Lauren Cossaboom | Physician Assistant | 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 | 2019-11-06 |
1316407810 | Joseph William Rozmus IIi | Physician Assistant | 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 | 2019-03-21 |
1164996419 | Emily Taylor Relles | Physician Assistant | 71 Falcon Feather Way, Henderson, NV 89012-5835 | 2019-01-18 |
1528511516 | Clinton Matthew Emmons | Physician Assistant | 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 | 2016-07-26 |
1447616404 | Marcos Gomez | Physician Assistant | 121 Pettswood Dr, Henderson, NV 89002-3390 | 2016-01-06 |
1407244593 | Laura Schmitt | Physician Assistant | 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 | 2014-12-26 |
1740602275 | Tanner J Smith | Physician Assistant | 830 Carnegie St Apt 623, Henderson, NV 89052-5734 | 2014-01-17 |
Find all providers in HENDERSON |
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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.