RAVEN MATTHEWS (NPI# 1114545928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114545928 |
| Entity Type | Individual |
| Full Name | RAVEN MATTHEWS |
| Credential | PA |
| Practice Address |
213 18th St Se Roanoke VA 24013-1311 |
| Practice Telephone | 2405437868 |
| Mailing Telephone | 2405437868 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
00000000 | VA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 0000000 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
213 18TH ST SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| 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 |
|---|---|---|---|---|
| 1164040960 | Daniel Scott Feivor | Physician Assistant | 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 | 2020-07-08 |
| 1275159287 | Paige Alexandra Hamay | Physician Assistant | 206 Williamson Rd Se Apt 227, Roanoke, VA 24011-1812 | 2020-06-25 |
| 1396360624 | Hannah Barnhill | Physician Assistant | 943 Murray Ave Se, Roanoke, VA 24013-1841 | 2020-06-12 |
| 1922623297 | Grace G Krotkov | Physician Assistant | 3410 Chaparral Dr Apt 133, Roanoke, VA 24018-4930 | 2020-06-12 |
| 1639791270 | Megan Thorn | Physician Assistant | 502 Allison Ave Sw Apt 5, Roanoke, VA 24016-4547 | 2020-05-16 |
| 1952923914 | Sydney Lucille Hughes Adams | Physician Assistant | 928 2nd St Sw Apt 1, Roanoke, VA 24016-4420 | 2020-05-13 |
| 1780206268 | Katherine Cole | Physician Assistant | 16 Old Whitmore Ave Se Apt 507, Roanoke, VA 24016-1236 | 2020-05-07 |
| 1205457033 | Kristin Marie Sammons | Physician Assistant | 6430 Archcrest Dr Apt 107, Roanoke, VA 24019-1185 | 2020-05-04 |
| 1407480460 | Amanda Joy Wheeler | Physician Assistant | 3626 Belle Ave Ne, Roanoke, VA 24012-6408 | 2020-02-28 |
| 1356981625 | Ryan Maurer Short | Physician Assistant | 1615 Westover Ave Sw # A, Roanoke, VA 24015-5215 | 2020-01-14 |
| Find all providers in ROANOKE | ||||
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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.