MR. JAMES P MATTESON (NPI# 1427048180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427048180 |
| Entity Type | Individual |
| Full Name | MR. JAMES P MATTESON |
| Credential | PA |
| Practice Address |
1141 N Monroe Dr Xenia OH 45385-1619 |
| Mailing Address |
3131 Newmark Dr Ste 220 Miamisburg OH 45342-5400 |
| Practice Telephone | 9373728011 |
| Mailing Telephone | 9374364658 |
| Mailing Fax Number | 9374364984 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.000486 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
50000486 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0075462 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Kettering Way, Franklin, OH 450051155 | 9374584700 | |
| 1997 Miamisburg Centerville Rd, Centerville, OH 454593811 | 9374016228 | 9374016447 |
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 | |
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373958166 | |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 | |
| 405 W Grand Ave, Dayton, OH 454057538 | 9377233211 | 9377234609 |
| 450 Washington Jackson Rd Ste F, Eaton, OH 453208699 | 9374568376 | 9374568377 |
| 600 W Main St, Troy, OH 453732928 | 9379807010 | 9379807019 |
| 6147 State Route 122, Middletown, OH 450055201 | 5132613410 | 5132613419 |
| 8701 Old Troy Pike, Huber Heights, OH 454241066 | 9375583338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497726830 | James Robert Matteson | Urology | 89 Sparta Ave, Suite 200, Sparta, NJ 07871-1777 | 2006-02-01 |
| Street Address |
1141 N MONROE DR |
| City | XENIA |
| State | OH |
| Zip Code | 45385-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886041 | Richard K Smith | General Practice | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2005-07-28 |
| 1710423470 | Katherine Wald | Physician Assistant | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2017-01-18 |
| 1740652627 | Judith Nightingale | Pharmacist | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2015-10-30 |
| 1083982888 | Emergency Medicine Specialists, Inc | Emergency Medicine | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2011-12-07 |
| 1144597964 | Greene Memorial Hospital Services, Inc | Hospitalist | 1141 N Monroe Dr, Suite A, Xenia, OH 45385-1619 | 2011-11-22 |
| 1609143437 | Greene Memorial Hospital Services, Inc | Radiology | 1141 N Monroe Dr, Suite B, Xenia, OH 45385-1619 | 2011-11-22 |
| 1003043472 | Melissa K Hartman | Emergency Medicine | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2009-06-12 |
| 1215162458 | Greene Memorial Hospital, Inc. | Rehabilitation Unit | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2009-05-18 |
| 1780819912 | Greene Memorial Hospital, Inc. | Psychiatric Unit | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2009-05-18 |
| 1538307624 | Kevin M Kearney | Dietitian, Registered | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2009-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689219008 | Ashley Marie Mosher | Registered Nurse | 1728 Dayton Xenia Road, Xenia, OH 45385 | 2019-11-08 |
| 1255892824 | Hart Behavior Group LLC | Behavioral Analyst | 1690 Kingsway Dr, Xenia, OH 45385 | 2019-03-27 |
| 1053814996 | Briana Creamer | Community/Behavioral Health | 673 Sutton Dr, Xenia, OH 45385 | 2018-03-16 |
| 1174031769 | Maggie Ann Weyandt | Social Worker | 380 Bellbrook Ave., Xenia, OH 45385 | 2018-01-17 |
| 1588116362 | Te Carr | Specialist/Technologist | 1200 Us 42 E, Xenia, OH 45385 | 2016-10-27 |
| 1649678400 | Crystal Misner | Occupational Therapy Assistant | 1694 Pawnee Drive, Xenia, OH 45385 | 2014-12-10 |
| 1750627345 | Claudette May Ross | Registered Nurse | 2301 Dundee Drive, Dayton, OH 45385 | 2012-12-31 |
| 1578868386 | Traditions At Xenia | Assisted Living Facility | 695 Wycliffe Dr, Xenia, OH 45385 | 2011-01-26 |
| 1851624720 | Robert T Morrison Md LLC | Internal Medicine | 215 S. Allison Ave., Xenia, OH 45385 | 2009-09-10 |
| 1790945186 | Tracey D Hacker | Licensed Practical Nurse | 1896 Pueblo Dr, Xenia, OH 45385 | 2008-06-10 |
| Find all providers in zip 45385 | ||||
| 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 |
|---|---|---|---|---|
| 1710423470 | Katherine Wald | Physician Assistant | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2017-01-18 |
| 1902261431 | Bryan Lee Schinaman | Physician Assistant | 386 N Detroit St, Xenia, OH 45385-2233 | 2015-12-29 |
| 1144390394 | Jill Alison Conkle | Physician Assistant | 1141 N Monroe Dr, Xenia, OH 45385-1619 | 2006-11-08 |
| 1033215462 | Myra Bibb Dowler | Physician Assistant | 244 Wilson Dr, Xenia, OH 45385-1864 | 2006-09-15 |
| 1487693115 | Patrice Christie | Physician Assistant | 244 Wilson Dr, Xenia, OH 45385-1864 | 2006-06-06 |
| 1720035652 | Teresa Lynn Malki | Physician Assistant | 215 S Allison Ave, Xenia, OH 45385-3694 | 2006-05-27 |
| 1609827740 | Mark A. Crager | Physician Assistant | 1460 Ludlow Rd, Xenia, OH 45385-7900 | 2006-05-13 |
| 1003872664 | Tamara J Phillipi | Physician Assistant | 1141 N Monroe Dr, Suite One, Xenia, OH 45385-1619 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750221 | Kathryn Eileen Aurand | Physician Assistant | 1020 E 346th St, Eastlake, OH 44095-2629 | 2020-11-06 |
| 1508467010 | Amanda Dawn Smith | Physician Assistant | 1621 Spruce St, Zanesville, OH 43701-2534 | 2020-11-03 |
| 1356941603 | Ingrid Mompoint-butler | Physician Assistant | 1911 Oakland Park Ave, Columbus, OH 43224-3630 | 2020-10-27 |
| 1083213946 | Breanne Lyon | Physician Assistant | 870 S Troy Ave, Cincinnati, OH 45246-4620 | 2020-10-21 |
| 1669071908 | Hannah Murrin | Physician Assistant | 4329 Marival Way, Mason, OH 45040-2867 | 2020-10-19 |
| 1861091241 | Beau Webb | Physician Assistant | 6017 Cruxten Dr, Dayton, OH 45424-3702 | 2020-10-18 |
| 1467051821 | Kelsey Nicole Weiss | Physician Assistant | 9025 Peacock Way Unit 206, West Chester, OH 45069-1659 | 2020-10-18 |
| 1215535489 | Caitlin Cahill | Physician Assistant | 2470 Merrybell Ct, Grove City, OH 43123-8724 | 2020-10-11 |
| 1174121461 | Thuy Lam Pham | Physician Assistant | 505 Brodywood Dr, Toledo, OH 43615-4589 | 2020-10-09 |
| 1508463506 | John Ronald Creighton | Physician Assistant | 7460 Marion St Apt B, Chesterhill, OH 43728-9613 | 2020-10-03 |
| Find all providers with the same taxonomy | ||||
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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.