MR. MATT P. PREWITT


Address: 2201 S Clear Creek Rd, Killeen, TX 76549-4110
Phone: 2545198871

MR. MATT P. PREWITT (NPI# 1023044898) 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) 1023044898
Entity Type Individual
Full Name MR. MATT P. PREWITT
Credential P.A.-C
Practice Address 2201 S Clear Creek Rd
Killeen
TX 76549-4110
Mailing Address 100 High Trail Dr
Georgetown
TX 78633-4582
Practice Telephone 2545198871
Mailing Telephone 5757701530
Enumeration Date 2006-06-24
Last Update Date 2014-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA08154 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
98-PA17 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 25070363 05

Office Location

Street Address 2201 S CLEAR CREEK RD
City KILLEEN
State TX
Zip Code 76549-4110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932107141 Hector J Castro Internal Medicine 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2005-07-12
1487265831 Joanna Moldenhauer Dietitian, Registered 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2020-08-10
1184234619 Rebecca Joy Rubio Dietitian, Registered 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2020-08-10
1619539145 Jillian Christine Hudson Nurse Practitioner 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2019-07-04
1215491717 Nina Marie Wilson Nurse Practitioner 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2019-01-29
1568946960 Jordan Yuen Occupational Therapist 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2018-09-20
1215418280 Emergency Associates of Central Texas Pa Physician Assistant 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2018-08-27
1386132942 Alexandra Hung Physician Assistant 2201 S Clear Creek Rd, Killeen, TX 76549 2018-04-28
1114453693 Austin Charles Miller Hospitalist 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2017-05-03
1225579956 Pamela Roy-kondepati Internal Medicine 2201 S Clear Creek Rd, Killeen, TX 76549-4110 2017-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023630191 Joy Angolo Registered Nurse 1403 Chips Drive, Unit A, Killeen, TX 76549 2020-05-12
1215587308 Jacqueline Nicole Estrella Nurse Practitioner Med Options Killeen Nursing Homes, Kileen, TX 76549 2019-09-19
1366924052 Barbara Ann Vaughn Licensed Vocational Nurse 413 Apt A Study Hall Loop, Killeen, TX 76549 2018-08-30
1124505359 Carl R Darnall Army Medical Center Clinic/Center 5200 Bunny Trail, Killeen, TX 76549 2018-07-20
1518456961 Robert Brott Counselor 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 2018-05-01
1922507417 Family Endeavors, Inc. Community/Behavioral Health 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 2018-02-09
1285143859 Jennifer Dawn Rothman Behavioral Analyst 4506 The Searchers Dr, Killeen, TX 76549 2017-09-26
1700307964 City of Ennis Skilled Nursing Facility 5000 Thayer Dr, Killeen, TX 76549 2017-06-28
1790216190 Neysa Stegmeyer Nurse Practitioner 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 2017-03-27
1740721471 Lspd At Killeen, Pllc Dentist 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 2017-03-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093063380 Jennifer Ellen Young Physician Assistant 2301 S Clear Creek Rd Ste 206, Killeen, TX 76549-4119 2012-08-17
1033259155 Dorothy Mae Thompson Physician Assistant 4310 Boots Dr, Killeen, TX 76549-2794 2007-02-07
1861556631 Jeffrey A Brooks Physician Assistant 4400-3 E Central Texas Expy, Suite A, Killeen, TX 76543-7372 2006-12-19
1760042071 Samantha Duran Mcgrade Physician Assistant 4501 S Clear Creek Rd, Killeen, TX 76549-4218 2019-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City KILLEEN
Zip Code 76549

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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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