MR. MATTHEW ETHAN JOHNSON (NPI# 1023398302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023398302 |
Entity Type | Individual |
Full Name | MR. MATTHEW ETHAN JOHNSON |
Credential | PA-C |
Practice Address |
24 Stevens St Norwalk CT 06856 |
Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
Practice Telephone | 2038522189 |
Mailing Telephone | 5703268723 |
Enumeration Date | 2011-08-18 |
Last Update Date | 2019-01-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA | Physician Assistants & Advanced Practice Nursing Providers | |
N | 363A00000X | Physician Assistant | 2609 | CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
Street Address |
24 STEVENS ST |
City | NORWALK |
State | CT |
Zip Code | 06856 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102803 | James E Babashak | Anesthesiology | 24 Stevens St, Norwalk, CT 06850-3852 | 2005-05-24 |
1871135244 | Ian Markowitz | Physician Assistant | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-10-17 |
1891356440 | Shannon K Fales | Social Worker | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-06-25 |
1255995635 | Jean Thompson | Social Worker | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-05-01 |
1598220063 | Kathleen Patricia Tighe | Registered Nurse | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-02-08 |
1255809802 | Jaclyn Marie Semmeles | Social Worker | 24 Stevens St, Norwalk, CT 06850 | 2018-11-12 |
1730679911 | Crystal May Smigel | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850 | 2018-05-14 |
1154707719 | Karen M Smith | Physician Assistant | 24 Stevens St, Norwalk, CT 06850-3852 | 2015-08-06 |
1447632047 | Nora Trachtman Croll | Physician Assistant | 24 Stevens St, Norwalk, CT 06850-3852 | 2015-06-19 |
1437566627 | Megan D Creedon | Physician Assistant | 24 Stevens St, Norwalk Hospital, Dept. of Surgery, Norwalk, CT 06850-3852 | 2014-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
1508249335 | Jaime Leahy | Student in an Organized Health Care Education/Training Program | 34 Maple Stree, Norwalk, CT 06856 | 2015-06-29 |
1295885978 | Melissa Anne Mahon | Speech-Language Pathologist | 26 Stevens. St., Norwalk, CT 06856 | 2007-01-12 |
1548360944 | Jonathan Barnhard | Obstetrics & Gynecology | 34 Stevens Street, 4th Floor, Norwalk, CT 06856 | 2006-09-25 |
1770069510 | Olga Khaliapin | Student in an Organized Health Care Education/Training Program | 34 Maple St, Norwalk, CT 06856 | 2018-07-16 |
1174044804 | Amanda Marie Lindo | Student in an Organized Health Care Education/Training Program | 34 Maple St, Norwalk, CT 06856 | 2017-07-03 |
1184145906 | Anvar Jabbar Hoja | Physician Assistant | 34 Maple Street, Norwalk Hospital/ Surgery Department., Norwalk, CT 06856 | 2017-07-01 |
1639690662 | Vladimer Kitiashvili | Student in an Organized Health Care Education/Training Program | 34 Maple Street, Norwalk, CT 06856 | 2017-06-29 |
1922554682 | Robert Andrew Douglas Wilson | Student in an Organized Health Care Education/Training Program | 34 Maple St, Norwalk, CT 06856 | 2016-08-31 |
1518374255 | Cassie Petit | Physician Assistant | 24 Stevens Street, Norwalk, CT 06856 | 2014-07-15 |
Find all providers in zip 06856 |
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 |
---|---|---|---|---|
1780218271 | Brenda Nava | Physician Assistant | 13531 Thistle Ave, Norwalk, CA 90650-3244 | 2020-02-24 |
1700377546 | Constantino Papadopoulos | Physician Assistant | 23 Dairy Farm Rd, Norwalk, CT 06851-6024 | 2018-05-29 |
1245783380 | Danielle Nicole Munday | Physician Assistant | 761 Main Ave Ste 102, Norwalk, CT 06851-1080 | 2016-07-25 |
1912321803 | David Irving Allyn | Physician Assistant | 3 Oakwood Ave, Unit A25, Norwalk, CT 06850-1339 | 2014-02-12 |
1396816732 | Mary-jane Cross | Physician Assistant | 40 Stevens St, Norwalk, CT 06851 | 2006-11-09 |
1356410013 | Monica Moore | Physician Assistant | 10 Glover Ave, Norwalk, CT 06850-1202 | 2006-11-07 |
1609966993 | Shantell S Wray | Physician Assistant | 350 Main Ave, C/o Dr. Appleby School Based Health Center At Briggs Hs, Norwalk, CT 06851-1510 | 2006-10-15 |
1265448294 | Glenn Michael De Guzman | Physician Assistant | 13330 Bloomfield Ave Ste 111, Norwalk, CA 90650-3264 | 2006-07-31 |
1326026428 | Todd D Hills | Physician Assistant | 280 Benedict Ave Ste B, Norwalk, OH 44857-2374 | 2006-01-09 |
1114914744 | Gloria Degenhardt | Physician Assistant | 200 W North St., Norwalk, WI 54648-0225 | 2005-09-29 |
Find all providers in NORWALK |
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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.