MATTHEW MATTY (NPI# 1184181166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184181166 |
| Entity Type | Individual |
| Full Name | MATTHEW MATTY |
| Credential | PA-C |
| Practice Address |
23832 Southfield Rd Southfield MI 48075-8000 |
| Mailing Address |
2873 Greenlawn Ave Commerce Township MI 48382-3543 |
| Practice Telephone | 2485692600 |
| Mailing Telephone | 2486866863 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601009033 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23832 SOUTHFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609836428 | Hematology-oncology Center of Michigan | Specialist | 23832 Southfield Rd, Southfield, MI 48075-8017 | 2006-03-24 |
| 1922646199 | Mona M Farah-qaimari | Nurse Practitioner | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-12-18 |
| 1346890639 | Michele Yono | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-09-18 |
| 1053976951 | Rafik E Mansour | Physician Assistant | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2019-05-06 |
| 1245705490 | Danielle Dicicco | Nurse Practitioner | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2018-10-03 |
| 1588190086 | Maxim Mri L.L.C. | Clinic/Center | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2017-05-04 |
| 1982156519 | Angela Moder | Nurse Practitioner | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2016-10-31 |
| 1225423031 | Natakki Wheatley | Family Medicine | 23832 Southfield Rd, Southfield, MI 48075 | 2015-03-30 |
| 1811278716 | Southfield City Urgent Care PC | Clinic/Center | 23832 Southfield Rd, Southfield, MI 48075-8017 | 2011-09-06 |
| 1114224870 | Shree Radhekrishna LLC | Pharmacy | 23832 Southfield Rd, Southfield, MI 48075-8000 | 2011-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1083231252 | Kaitlin Elizabeth Flaherty | Physician Assistant | 30130 Northgate Ln, Southfield, MI 48076-1063 | 2020-07-02 |
| 1265090047 | Kathy Thi Y Nhi Pham | Physician Assistant | 29689 Marshall St, Southfield, MI 48076-5845 | 2019-06-05 |
| 1013488535 | Rachel Moss | Physician Assistant | 26400 W 12 Mile Rd Ste 170, Southfield, MI 48034-1753 | 2018-12-10 |
| 1760853147 | Reema Sutariya | Physician Assistant | 24901 Northwestern Hwy Ste 214, Southfield, MI 48075-2205 | 2015-10-12 |
| 1760861983 | Erin Anne Hartsmith | Physician Assistant | 29169 Southfield Rd, Southfield, MI 48076 | 2015-05-20 |
| 1871921171 | Megann Jobson | Physician Assistant | 21700 Northwestern Hwy Ste 600, Southfield, MI 48075-4912 | 2013-10-23 |
| 1376970905 | Justin Scott Remsing | Physician Assistant | 28405 Brooks Ln, Southfield, MI 48034-2090 | 2013-09-27 |
| 1396004974 | Winona Chatman Smith | Physician Assistant | 19050 Coral Gables St, Southfield, MI 48076-4431 | 2012-05-16 |
| 1457485237 | Thelma Howard | Physician Assistant | 4000 Town Center, Suite 370, Southfield, MI 48075 | 2007-03-15 |
| 1740367036 | Kristi A Tesarz | Physician Assistant | 26206 W 12 Mile Rd Ste 202, Southfield, MI 48034-8500 | 2006-11-01 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.