MICHELLE MARIA MATHESON


Address: 30 Harrison St Ste 250, Johnson City, NY 13790-2176
Phone: 6077708600

MICHELLE MARIA MATHESON (NPI# 1235318833) 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) 1235318833
Entity Type Individual
Full Name MICHELLE MARIA MATHESON
Credential PA
Practice Address 30 Harrison St Ste 250
Johnson City
NY 13790-2176
Mailing Address 33 Lewis Rd
2nd Floor
Binghamton
NY 13905
Practice Telephone 6077708600
Practice Fax Number 6077700853
Mailing Telephone 6077298156
Mailing Fax Number 6077293982
Enumeration Date 2007-10-31
Last Update Date 2017-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208M00000X Hospitalist 012040 NY Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant 012040 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03236537 05

Other Providers MICHELLE MATHESON

NPI Name Taxonomy Address Enumeration
1649333782 Michelle M Matheson Dentist 1179 Whitehall Rd, Suite A, Muskegon, MI 49445-2497 2006-12-19

Office Location

Street Address 30 HARRISON ST STE 250
City JOHNSON CITY
State NY
Zip Code 13790-2176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710988266 Hisham Kashou Internal Medicine 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2005-08-09
1467070805 Susan Boyko Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2020-07-13
1417589755 Laura Sienkiewicz Nutritionist 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2020-02-05
1619511540 Nirgiz Taha Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2019-11-04
1043796717 Rachel Marie Filetto Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2018-07-16
1295227981 Jena Mullenax Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2018-05-30
1609395771 Michael Artino Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2017-09-11
1245606490 Jessie Lynn Flurschutz Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2015-08-11
1225435902 Ashlee Brooke Fish Nurse Practitioner 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2014-11-25
1790114924 Rasha Aurshiya Internal Medicine 30 Harrison St Ste 250, Johnson City, NY 13790-2176 2013-11-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578107645 Thomas William Sorber Occupational Therapist 33 Harrison St, Johnson City, Johnson City, NY 13790 2019-11-01
1326534116 Silver Linings Golden Memory Care Clinic/Center 4416 Watson Blvd, Johnson City, NY 13790 2018-07-05
1508308545 Irene Mukeli Nzasi Registered Nurse 156 Corliss Ave Suite 107, Johnson City, NY 13790 2016-11-08
1053867754 Tabitha Rae Toman Physical Therapist 34 Harrison St, Johnson City, NY 13790 2016-09-01
1235685066 Dianne Brunner Physical Therapist 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 2016-08-31
1578982682 Tracy Lynn Brown Optometrist 223 Reynolds Road, Johnson City, NY 13790 2014-04-16
1083041495 Maryann Serbonich Pharmacist 52 Harrison Street, Johnson City, NY 13790 2013-09-30
1134464399 Kasey Connor Folger Speech-Language Pathologist 3 Laurel St., Johnson City, NY 13790 2012-11-29
1467797571 Bodyworks Physical Therapy LLC Clinic/Center 765 Harry L Drive, Johnson City, NY 13790 2012-11-29
1548518400 Melissa L Korosec Nurse Practitioner 30 Harrison St., Suite 250, Johnson City, NY 13790 2012-08-27
Find all providers in zip 13790

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
1821616590 Brenda L Rankhorn Physician Assistant 402 Brookwood Dr, Johnson City, TN 37615-4924 2020-07-09
1336706183 Andrew Thomas Rogers Physician Assistant 401 E Watauga Ave, Johnson City, TN 37601-4036 2019-05-28
1750859831 Bethany Marie Zakrzewski Physician Assistant 410 N State of Franklin Rd Ste 120, Johnson City, TN 37604-6972 2018-11-07
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1417453440 Blue Ridge Medical Management Corpoartion Physician Assistant 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 2018-03-30
1083082838 Amber Dykes Physician Assistant 119 Boone Ridge Dr Ste 201, Johnson City, TN 37615-8000 2015-09-10
1720336712 Amy C Flint Physician Assistant 303 Med Tech Pkwy Ste 150, Johnson City, TN 37604-2394 2012-08-22
1568779155 Tracy Mcwhorter Martino Physician Assistant 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 2010-09-03
1932430741 Lisa M Adams Physician Assistant 1301 Sunset Drive, Suite 3, Johnson City, TN 37604 2010-01-18
1265594618 Whitney Diane Davis Physician Assistant 2514 Wesley St Ste 102, Johnson City, TN 37601-1764 2006-12-14
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 13790

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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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