MR. RUSSELL MATKIN (NPI# 1437584356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437584356 |
Entity Type | Individual |
Full Name | MR. RUSSELL MATKIN |
Credential | PA-C |
Practice Address |
3430 Irby Dr Apt 509 Apt 509 Conway AR 72034-7656 |
Practice Telephone | 5017330724 |
Mailing Telephone | 5017330724 |
Enumeration Date | 2013-09-10 |
Last Update Date | 2013-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA-498 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3430 IRBY DR APT 509 APT 509 |
City | CONWAY |
State | AR |
Zip Code | 72034-7656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
Find all providers in zip 72034 |
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 |
---|---|---|---|---|
1487209086 | Chase Gunter | Physician Assistant | 817 Wilcot Branch Ct, Conway, SC 29526-1205 | 2019-08-09 |
1427554401 | Rebekah Campbell | Physician Assistant | 5410 Whistling Straits, Conway, AR 72034-8765 | 2018-03-30 |
1265635981 | Leanne Stegall Griffin | Physician Assistant | 1014 Harkrider St Ste B, Conway, AR 72032-4471 | 2007-06-08 |
1710038864 | April Hall Martin | Physician Assistant | 251 University Boulevard, Conway, SC 29526 | 2007-01-16 |
1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
1457327918 | Debra K Joyner | Physician Assistant | 394 Singleton Ridge Rd, Conway, SC 29526-9150 | 2006-02-24 |
1477540045 | Darryl K Valentine | Physician Assistant | 235 Singleton Ridge Rd Ste 103, Conway, SC 29526-9136 | 2005-09-29 |
1043845431 | Lakyn Michelle Phillips | Physician Assistant | 812 Oak St, Conway, AR 72032-4408 | 2020-03-06 |
1720620818 | Emily L Mckinney | Physician Assistant | 550 Club Ln, Conway, AR 72034-3681 | 2019-10-10 |
1083279533 | Faulkner Emergency Group, Pllc | Physician Assistant | 2302 College Ave, Conway, AR 72034-6297 | 2019-05-09 |
Find all providers in CONWAY |
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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.