MATTHEW GATLIN (NPI# 1245552140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245552140 |
| Entity Type | Individual |
| Full Name | MATTHEW GATLIN |
| Credential | PA-C |
| Practice Address |
525 E 11th St Superior NE 68978-1101 |
| Practice Telephone | 4028794781 |
| Practice Fax Number | 4028793365 |
| Mailing Telephone | 4028794781 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NE1529 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA06728 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 15-01506 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 002082 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
525 E 11TH ST |
| City | SUPERIOR |
| State | NE |
| Zip Code | 68978-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790777936 | Timothy Blecha | Specialist | 525 E 11th St, Superior, NE 68978-1101 | 2005-08-15 |
| 1568756609 | Alisha Fangmeyer | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2011-06-07 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1578540126 | Robert G Leibel | Family Medicine | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1295712842 | Julie A Theis | Family Medicine | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1831176486 | Jason G Hass | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| 1477530020 | Teresa B Frahm | Nurse Practitioner | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144475740 | Superior Vision PC | Eyewear Supplier (Equipment, not the service) | 358 Central Ave, Superior, NE 68978 | 2008-11-24 |
| 1427234160 | Elinor Lynn Wilton | Speech-Language Pathologist | 4034 Road C, Superior, NE 68978 | 2008-01-11 |
| 1780720904 | Sharon Greenwood | Counselor | 344 North Dakota, Superior, NE 68978 | 2007-01-29 |
| 1780776583 | South Central Behavioral Services | Clinic/Center | 520 East 10th Street, Broadstone Memorial Hospital, Superior, NE 68978 | 2006-09-29 |
| 1780804112 | Terry Dale Kermoade | Pharmacist | 520 East 10th Street, Superior, NE 68978 | 2007-04-26 |
| 1033288097 | Peggy Ann Meyer | Counselor | 520 E 10th St, Superior, NE 68978 | 2006-11-06 |
| 1013024215 | Steve Abe Fox | Nurse Anesthetist, Certified Registered | 1324 Montana St, Superior, NE 68978-1038 | 2006-08-24 |
| 1154702611 | Kingswood Court Assisted Living, LLC | Assisted Living Facility | 1005 Idaho St, Superior, NE 68978-1103 | 2015-06-10 |
| 1477637619 | Brodstone Memorial Hospital | Home Health | 1050 Washington St, Superior, NE 68978-1149 | 2006-10-24 |
| 1144496589 | Positive Solutions, Inc | Social Worker | 1050 Washington St, Superior, NE 68978-1149 | 2008-05-06 |
| Find all providers in zip 68978 | ||||
| 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 |
|---|---|---|---|---|
| 1023129996 | Blaine S. Jensen | Physician Assistant | 1134 W Hwy 60, Superior, AZ 85273-2647 | 2006-08-31 |
| 1669470845 | James G Potter | Physician Assistant | 3500 Tower Avenue, Superior, WI 54880-5335 | 2005-07-12 |
| 1629401856 | Amy Marie Laflamme | Physician Assistant | 3500 Tower Ave, Superior, WI 54880-5335 | 2013-08-12 |
| 1740539568 | Sarah Elizabeth Johnson | Physician Assistant | 3500 Tower Ave, Essentia Health St. Mary's Hospital-superior, Superior, WI 54880-5335 | 2012-09-07 |
| 1114225174 | Sarah Lynn Karl | Physician Assistant | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2011-03-01 |
| 1568619682 | Adam M Wennersten | Physician Assistant | 3600 Tower Ave, Superior, WI 54880 | 2008-08-20 |
| 1174690853 | Jay Michael Ferguson | Physician Assistant | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-11-29 |
| 1831290683 | Karyn Thornton | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-09-26 |
| 1790736981 | Anna Charlotte Greiner | Physician Assistant | 109 N 28th St E, Superior, WI 54880 | 2006-05-13 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Find all providers in SUPERIOR | ||||
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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.