MATTHEW THUJA (NPI# 1477003416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477003416 |
| Entity Type | Individual |
| Full Name | MATTHEW THUJA |
| Credential | PA-C |
| Practice Address |
7150 Main St Ovid NY 14521-9401 |
| Mailing Address |
Po Box 423 Penn Yan NY 14527-0423 |
| Practice Telephone | 6074030065 |
| Practice Fax Number | 6074030093 |
| Mailing Telephone | 3155319102 |
| Mailing Fax Number | 3155319103 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 020239 | 01 |
| NY | 04617121 | 05 |
| Street Address |
7150 MAIN ST |
| City | OVID |
| State | NY |
| Zip Code | 14521-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811017981 | Frederick L Riegel | Dentist | 7150 Main St, Ovid, NY 14521-9401 | 2007-03-30 |
| 1821546086 | Marnie Pealo | Licensed Practical Nurse | 7150 Main St, Ovid, NY 14521-9401 | 2016-09-16 |
| 1104165349 | Finger Lakes Migrant Health Care Project, Inc. | Clinic/Center | 7150 Main St, Ovid, NY 14521 | 2013-02-07 |
| 1356565519 | Jose R Canario Jr. | Family Medicine | 7150 Main St, Ovid, NY 14521-9401 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235566365 | Emilee B Broadwell | Registered Nurse | 7263 Main Street, Ovid, NY 14521 | 2013-10-03 |
| 1568803633 | Kimberly Ann Pitkin | Licensed Practical Nurse | 2178 East Seneca Street, Ovid, NY 14521 | 2013-07-17 |
| 1497070577 | Christopher Scott Verrill | Pharmacist | 7115 North Main Street, Ovid, NY 14521 | 2010-04-01 |
| 1053644179 | Elizabeth Bogel Ryan | Family Medicine | 7150 N Main St, Suite 100, Ovid, NY 14521 | 2009-09-08 |
| 1124159272 | David James Palmer | Pharmacist | 7115 North Main St, Ovid, NY 14521 | 2007-03-08 |
| 1730274937 | Dick Van Dyke Addiction Treatment Center | Community/Behavioral Health | 1330 County Road 132, Ovid, NY 14521 | 2006-10-04 |
| 1548286404 | Palmer Pharmacy Inc | Pharmacy | 7115 N Main St, Ovid, NY 14521 | 2006-07-14 |
| 1609125004 | Kph Healthcare Services, Inc. | Pharmacy | 7115 North Main Street, Ovid, NY 14521 | 2012-08-31 |
| 1104080415 | Kathleen Marie Dragone | Pharmacist | 7115 N Main St, Ovid, NY 14521-0369 | 2008-07-16 |
| 1407899230 | South Seneca Community Volunteer Ambulance Corps Inc | Ambulance | 2011 State Route 96a, Ovid, NY 14521-9507 | 2006-06-13 |
| Find all providers in zip 14521 | ||||
| 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 |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.