MATTHEW JOHNSON (NPI# 1053870717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053870717 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHNSON |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
900 Ocean Beach Hwy Ste 110 Longview WA 98632 |
| Mailing Address |
900 Ocean Beach Hwy Ste 110 Longview WA 98632-4171 |
| Practice Telephone | 3606480080 |
| Practice Fax Number | 3606488865 |
| Mailing Telephone | 3606488860 |
| Mailing Fax Number | 3606488865 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3240 Fort Rd, Toppenish, WA 989489562 | 5098650707 | 5098658560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 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 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| Street Address |
900 OCEAN BEACH HWY STE 110 |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561998 | Pacific Northwest Urgent Care LLC | Emergency Medicine | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632-4171 | 2020-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| 1568853885 | Kaaren Lilly Marie Spanski-dreffin | Counselor | 1105 D 15th Ave, 186, Longview, WA 98632 | 2015-02-09 |
| Find all providers in zip 98632 | ||||
| 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 |
|---|---|---|---|---|
| 1073083903 | Ashley Briana-marie Gentry | Physician Assistant | 707 Hollybrook Dr # 200, Longview, TX 75605-2410 | 2018-12-04 |
| 1275637472 | Roderick Kelly | Physician Assistant | 1509 W Loop 281, Suite 2-b, Longview, TX 75604-2820 | 2006-09-11 |
| 1093751265 | Michael L. Smith | Physician Assistant | 2010 Bill Owens Pkwy, Longview, TX 75604-6210 | 2006-06-22 |
| 1174501811 | Denis Adams | Physician Assistant | 901 Walnut Hill Dr, Longview, TX 75605-5054 | 2006-01-04 |
| 1336123462 | Britta C Fischer | Physician Assistant | 783 Commerce Ave Ste 300, Longview, WA 98632-2495 | 2005-12-01 |
| 1265421499 | George Francis Zerucha | Physician Assistant | 121 Oak Isle Dr, Longview, TX 75605-7523 | 2005-10-20 |
| 1063412468 | Amy J Stacey | Physician Assistant | 1300 N 4th St, Longview, TX 75601-4717 | 2005-07-28 |
| 1407855455 | Debbi Spitler | Physician Assistant | 921 14th Ave, Longview, WA 98632-2316 | 2005-07-20 |
| 1043217664 | David L Oliver | Physician Assistant | 1706 Washington Way, Longview, WA 98632-2952 | 2005-06-29 |
| 1427053180 | Michael D. Sims | Physician Assistant | 805 Medical Dr, Longview, TX 75605-5130 | 2005-06-17 |
| Find all providers in LONGVIEW | ||||
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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.