MR. RUSSELL MATKIN


Address: 3430 Irby Dr Apt 509, Apt 509, Conway, AR 72034-7656
Phone: 5017330724

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA-498 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3430 IRBY DR APT 509
APT 509
City CONWAY
State AR
Zip Code 72034-7656

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City CONWAY
Zip Code 72034

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Dataset Information

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.

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