ALEXA RAE MATILLANO (NPI# 1366060923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366060923 |
| Entity Type | Individual |
| Full Name | ALEXA RAE MATILLANO |
| Credential | PA |
| Practice Address |
449 Scranton Carbondale Hwy Scranton PA 18508-1115 |
| Mailing Address |
1510 Applewood Acres South Abington Township PA 18411-2849 |
| Practice Telephone | 5703446000 |
| Mailing Telephone | 5709834413 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
449 SCRANTON CARBONDALE HWY |
| City | SCRANTON |
| State | PA |
| Zip Code | 18508-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832114 | Geena Galvagno | Physician Assistant | 449 Scranton Carbondale Hwy, Scranton, PA 18508-1115 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659843266 | Kelly Artmont | Massage Therapist | Northeastern Rehabilitation Associates, PC, 5 Morgan Highway Suite 4, Scranton, PA 18508 | 2018-12-20 |
| 1881163517 | Mindy Dobroski | Pharmacist | 589 Hamlin Hwy, Hamlin, PA 18508 | 2018-11-26 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1033511621 | Geisinger Clinic | Radiology | 5 Morgan Highway, Suite 7, Scranton, PA 18508 | 2014-09-25 |
| 1265833321 | Geisinger Clinic | Clinic/Center | 423 Scranton-carbondale Hwy, Scranton, PA 18508 | 2014-09-09 |
| 1659656924 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 100 Viewmont Mall, Space 844, Scranton, PA 18508 | 2011-10-18 |
| 1689851545 | Carol Ann C Perfilio Pamelia | Chiropractor | 1328 Providence Rd, Scranton, PA 18508 | 2008-01-23 |
| 1821282989 | Osti Klenz Inc | Durable Medical Equipment & Medical Supplies | 7 Viewmont Estates, Scranton, PA 18508 | 2007-08-31 |
| 1508072125 | Mary Jane Cosgrove | Optometrist | Lenscrafters Rt 6, Viewmont Mall, Scranton, PA 18508 | 2007-05-14 |
| 1235353228 | Lori A Thorpe | Physical Therapist | 423 Scranton Carbondale Highway, Scranton, PA 18508 | 2007-04-12 |
| Find all providers in zip 18508 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972977379 | Casey Ann Vescovi | Physician Assistant | 327 North Washington Ave., Suite 200, Scranton, PA 18503-1535 | 2015-11-23 |
| 1396137659 | Kara Lynn Rempe | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503 | 2015-02-24 |
| 1316932312 | Jennifer Murray Aebli | Physician Assistant | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2005-09-15 |
| 1356994313 | Chivon Demchak | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2019-07-18 |
| 1790253193 | Meghan Katherine Cawley | Physician Assistant | 327 N Washington Ave Ste 200, Scranton, PA 18503-1535 | 2018-11-05 |
| 1790261303 | Gabriella Maria Rossi | Physician Assistant | 1800 Mulberry St, Scranton, PA 18510-2369 | 2018-07-17 |
| 1639626849 | Samipkumar Patel | Physician Assistant | 1141 Moosic St Ste 3, Scranton, PA 18505-2105 | 2016-09-06 |
| 1942669262 | Georgia Ann Healey | Physician Assistant | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2016-02-15 |
| 1730559881 | Jennifer Balinas | Physician Assistant | 802 Jefferson Ave, Scranton, PA 18510-1038 | 2015-10-01 |
| 1225466899 | Kristen Maritato | Physician Assistant | 1789 N Keyser Ave, Suite B, Scranton, PA 18508-1250 | 2013-10-17 |
| Find all providers in SCRANTON | ||||
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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.