Active NPIIndividual provider

Matthew T Johnson, PA-C

Physician Assistant, Surgical in Scarborough, Maine

NPI Number1972547404
Practice location
92 Campus Dr, Scarborough, ME 04074-7228
Fax
—
Last updated
September 5, 2023

Matthew T. Johnson is a Physician Assistant, Surgical based in Scarborough, ME. Matthew T. Johnson practices in Scarborough, ME and has the professional credentials of PA-C. The NPI Number for Matthew T. Johnson is 1972547404 and holds a License No. PA-703 (ME). The current practice location address for Matthew T. Johnson is 92 Campus Dr, Scarborough, ME 04074-7228 and can be reached out via phone at 207-885-0011.

Provider Profile Details

NPI Number
1972547404
Provider Name
Matthew T. Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
92 Campus Dr, Scarborough, ME 04074-7228
Phone Number
207-885-0011
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2006
Last Update Date
September 5, 2023
Certification Date
September 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Campus Dr
Scarborough, ME 04074-7228
State
Maine
Zip
04074-7228
Phone Number
207-885-0011
Scarborough, ME 04074Get directions →

Provider Business Mailing Address Details

Address
92 Campus Dr
Scarborough, ME 04074-7228
City
Scarborough
State
ME
Zip
04074-7228
Phone Number
207-885-0011

License Information

License Number
PA-703
License State
ME
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matthew T Johnson, PA-C?

The NPI number of Matthew T Johnson, PA-C is 1972547404. It was assigned on June 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Matthew T Johnson, PA-C?

Matthew T Johnson, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA-703.

Where does Matthew T Johnson, PA-C practice?

The practice location is 92 Campus Dr, Scarborough, ME 04074-7228. The office can be reached at 207-885-0011 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972547404 directly on the NPPES registry website.

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