MATTHEW D GARRIS


Address: 8303 Dodge St Ste 225, Omaha, NE 68114-4108
Phone: 4023545860

MATTHEW D GARRIS (NPI# 1376610097) 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) 1376610097
Entity Type Individual
Full Name MATTHEW D GARRIS
Credential PA-C
Practice Address 8303 Dodge St Ste 225
Omaha
NE 68114-4108
Practice Telephone 4023545860
Practice Fax Number 4023542350
Mailing Telephone 4023545860
Mailing Fax Number 4023542350
Enumeration Date 2006-11-29
Last Update Date 2020-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 900 NE Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
900 NE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE BLUE CROSS BLUE SHIELD 38785 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
515 N 162nd Ave Ste 303, Omaha, NE 681182540 4023545860

Office Location

Street Address 8303 DODGE ST STE 225
City OMAHA
State NE
Zip Code 68114-4108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689237356 Jared Nathan Holthaus Optometrist 625 N. 98th St, Omaha, NE 68114 2019-04-18
1346701869 On Site Health and Wellness, LLC Dietitian, Registered 7905 Pacific Street, Omaha, NE 68114 2019-03-27
1801301205 Logan Johnson Specialist/Technologist 8803 Webster Plz, Omaha, NE 68114 2017-12-06
1992224687 Douglas Medical Supplies Durable Medical Equipment & Medical Supplies 7914 W Dodge Rd Ste 916, Omaha, NE 68114 2017-09-13
1023568540 Active Spine Physical Therapy, LLC Clinic/Center 10110 Nicholas St Ste 100, Omaha, NE 68114 2016-10-07
1417400706 Kayla Ann Leddy Counselor 7701 Pacific St Ste 100a, Omaha, NE 68114 2016-08-03
1134561103 Julio Cesar Deleon Iv Counselor 9212 California Plaza #308, Omaha, NE 68114 2013-07-19
1477992261 Nicole Janine Lecci Dentist 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 2013-06-14
1538504436 Christian Louis Barney Radiology 8303 Dodge St Ste Ll6, Omaha, NE 68114 2013-05-06
1558606665 Nbd Solutions Durable Medical Equipment & Medical Supplies 327 N 78 Street, Omaha, NE 68114 2012-11-29
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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
1609475375 Patrick Donald Heavey Physician Assistant 4660 Pine St, Omaha, NE 68106-2520 2020-10-22
1780297440 Tayler Marie Llewellyn Physician Assistant 17241 Oak Dr, Omaha, NE 68130-2428 2020-08-24
1154933992 Alexandria Rae Mctaggart Physician Assistant 5024 S 130th St, Omaha, NE 68137-1820 2020-08-22
1124651443 Kathryn A Kesti Physician Assistant 4242 Farnam St Ste 500, Omaha, NE 68131-2850 2020-02-14
1760014757 Timothy Shew Physician Assistant 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 2020-02-07
1083264303 Alicia K Clough Physician Assistant 15236 Westchester Dr, Omaha, NE 68154-2060 2019-09-18
1669935565 Taylor Elizabeth Hepp Physician Assistant 8005 Farnam Dr Ste 204, Omaha, NE 68114-3426 2019-04-09
1851895924 Mohammed Saeb Shakir Physician Assistant 7306 Ontario St, Omaha, NE 68124-3561 2018-03-22
1386162790 Anna Jean Sorrell Physician Assistant Emile St & S 42nd St, Omaha, NE 68198-4742 2017-09-06
1659804292 Kaitlyn Ann Boosalis Physician Assistant 4331 Mayberry St, Omaha, NE 68105-1711 2017-04-11
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Competitor

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City OMAHA
Zip Code 68114

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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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