MR. MATTHEW JOHN MORRISON (NPI# 1104814177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104814177 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JOHN MORRISON |
| Credential | PA-C |
| Practice Address |
1690 Dunlawton Ave Ste 210 Port Orange FL 32127-8980 |
| Mailing Address |
324 Gull Dr S Daytona Beach FL 32119-1357 |
| Practice Telephone | 3867634920 |
| Practice Fax Number | 3867634939 |
| Mailing Telephone | 3867613503 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9100655 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285269902 | Matthew J Morrison | Massage Therapist | 148 Harwood Ave, Syracuse, NY 13224-1627 | 2020-03-04 |
| 1912401027 | Matthew Morrison | Family Medicine | 64 S Federal Hwy, Boca Raton, FL 33432-4805 | 2018-03-22 |
| 1275795981 | Matthew Jiji Morrison | Psychologist | 37 E 4th St, Brooklyn, NY 11218-1023 | 2008-06-25 |
| 1841267978 | Matthew R Morrison | Physical Therapist | 6000 Fayetteville Rd, Durham, NC 27713 | 2006-03-08 |
| 1043217474 | Matthew Morrison | Orthotist | 200 Timberhill Pl, Ste 203, Chapel Hill, NC 27514-1596 | 2005-06-30 |
| 1336569235 | Matthew William Morrison | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2014-04-18 |
| 1770859431 | Matthew Ellis Morrison | Emergency Medicine | 1650 Selwyn Ave, Milstein Building, Suite 8c, Bronx, NY 10457-7626 | 2012-03-28 |
| 1942492483 | Matthew R Morrison | Optometrist | 1015 Westhaven Blvd, Suite 100, Franklin, TN 37064 | 2007-08-17 |
| 1003876152 | Matthew Joseph Morrison | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-24 |
| Street Address |
1690 DUNLAWTON AVE STE 210 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-8980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003251 | Jessica Crowell | Nurse Practitioner | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2020-11-04 |
| 1710527056 | Adrijana Mijatovic | Nurse Practitioner | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2020-01-15 |
| 1093283905 | Ousama Alkhatib | Internal Medicine | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2018-11-08 |
| 1659643120 | Atlantic Medical Services, LLC | Clinical Medical Laboratory | 1690 Dunlawton Ave Ste 210, Port Orange, FL 32127-8980 | 2012-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093111510 | Keri Long Miller | Physician Assistant | 1165 Dunlawton Ave Ste 105, Port Orange, FL 32127-2924 | 2014-11-11 |
| 1750916359 | Travis Coleman Satterfield | Physician Assistant | 3635 Clyde Morris Blvd Ste 100, Port Orange, FL 32129-2349 | 2020-03-04 |
| 1871849133 | Dorothy Whatley Porter | Physician Assistant | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2300 | 2012-07-24 |
| 1609011501 | The Institute for Wellbeing LLC | Physician Assistant | 802 Dunlawton Ave, Suite 102, Port Orange, FL 32127-4931 | 2008-12-05 |
| 1538317383 | Angela K Beech | Physician Assistant | 4770 S Ridgewood Ave, Port Orange, FL 32127-4544 | 2008-09-05 |
| 1356519417 | Joanna Elizabeth Stoverink | Physician Assistant | 3635 S Clyde Morris Blvd, Ste 100, Port Orange, FL 32129-2300 | 2008-02-12 |
| 1124202734 | Pamela Ross | Physician Assistant | 802 Dunlawton Ave, Institute for Wellbeing Suite 102, Port Orange, FL 32127-4931 | 2007-12-19 |
| 1174704001 | Ralph J Zwolinski M D Inc | Physician Assistant | 3951 S Nova Rd, Port Orange, FL 32127-9270 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.