ASHLEY LYNN MATLACK (NPI# 1104139153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104139153 |
| Entity Type | Individual |
| Full Name | ASHLEY LYNN MATLACK |
| Credential | PA-C |
| Practice Address |
2104 Harrisburg Pike Ste 200 Lancaster PA 17601-2644 |
| Practice Telephone | 7175443626 |
| Practice Fax Number | 7175443628 |
| Mailing Telephone | 7175443626 |
| Mailing Fax Number | 7175443628 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2013-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054370 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA054370 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2104 HARRISBURG PIKE STE 200 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588671010 | Amber D Brown | Physician Assistant | 2104 Harrisburg Pike Ste 200, Lancaster, PA 17601-2644 | 2006-08-01 |
| 1083904528 | Fiona Marie Gaunay | Surgery | 2104 Harrisburg Pike Ste 200, Lancaster, PA 17601-2644 | 2011-04-18 |
| 1932367919 | John Douglas Affuso | Surgery | 2104 Harrisburg Pike Ste 200, Lancaster, PA 17601-2644 | 2008-05-27 |
| 1487856621 | Marnie Sue Kaplan | Specialist | 2104 Harrisburg Pike Ste 200, Lancaster, PA 17601 | 2007-06-01 |
| 1295816650 | Joseph F Voystock | Surgery | 2104 Harrisburg Pike Ste 200, Lancaster, PA 17601-2644 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
| 1699311522 | Meals On Wheels, Inc | Home Delivered Meals | 1085-b Manheim Pike, Lancaster, PA 17601 | 2019-11-26 |
| 1245711555 | Molly Cates Casey | Nurse Practitioner | 190 N Pointe Blvd Ste 1, Lancaster, PA 17601 | 2018-08-24 |
| 1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
| 1942791918 | Linda J Arnold | Registered Nurse | 2645 Valley View Dr, Lancaster, PA 17601 | 2018-05-24 |
| 1003311598 | Nicole Marie Adams | Social Worker | 255 Butler Avenue, Suite 103, Lancaster, PA 17601 | 2018-03-27 |
| 1013418912 | Pinnacle Health Medical Services | Clinic/Center | 1160 Manheim Pike Ste 101, Lancaster, PA 17601 | 2018-02-26 |
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1427573302 | Ellen Hoffman | Massage Therapist | 2108 Harrisburg Pike Ste 315, Lancaster, PA 17601 | 2017-08-11 |
| Find all providers in zip 17601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154772457 | Dion Leathers | Physician Assistant | 439 Francis St, Lancaster, TX 75146 | 2016-06-28 |
| 1790938553 | Shannon Lynn Bocchino | Physician Assistant | 170 N Pointe Boulevard, Lancaster, PA 17601-4132 | 2008-10-24 |
| 1205099132 | Heather Jo Tryon | Physician Assistant | 540 North Duke Street, Suite 110, Lancaster, PA 17602-2374 | 2008-07-10 |
| 1437766979 | Victoria Kissinger | Physician Assistant | 1671 Crooked Oak Dr, Lancaster, PA 17601-4269 | 2020-09-29 |
| 1386121572 | Principle Assist, LLC | Physician Assistant | 439 Francis St, Lancaster, TX 75146-2319 | 2018-07-20 |
| 1699224014 | Ryan D Farley | Physician Assistant | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2016-09-27 |
| 1144773268 | Benjamin Dodson | Physician Assistant | 555 N Duke St, Lancaster, PA 17602-2250 | 2016-07-25 |
| 1346624889 | Hope Weber | Physician Assistant | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2015-07-15 |
| 1265846075 | Travis Transue | Physician Assistant | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2014-06-19 |
| 1659711679 | Stephanie R Cody | Physician Assistant | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2013-07-05 |
| Find all providers in LANCASTER | ||||
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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.