MATTHEW MATTIS (NPI# 1558776476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558776476 |
| Entity Type | Individual |
| Full Name | MATTHEW MATTIS |
| Credential | PA-C |
| Practice Address |
625 Albany Ave Torrington WY 82240-1530 |
| Practice Telephone | 3075322107 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 ALBANY AVE |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82240-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925423 | Bhs Physician Services - Torrington | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2006-06-30 |
| 1528542719 | Monica Nicole Teichert | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-09-24 |
| 1174005367 | Annmarie Valentine Wilson | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-09-04 |
| 1336633296 | Jill Truesdale | Physician Assistant | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-06-14 |
| 1164950036 | Community Hospital | General Acute Care Hospital | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-23 |
| 1710413141 | Gerald Albert Walker Jr. | Clinical Nurse Specialist | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-04 |
| 1174059786 | Community Hospital | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-03 |
| 1871034637 | Banner Medical Clinic Torrington LLC | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-03-13 |
| 1063778728 | Banner Health Physicians West LLC | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2012-04-06 |
| 1427334739 | Laura Rachel Halley | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2011-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
| 1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
| 1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
| 1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
| Find all providers in zip 82240 | ||||
| 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 |
|---|---|---|---|---|
| 1518427491 | Lauren Kess | Physician Assistant | 105 Winterberry Way, Torrington, CT 06790-2595 | 2019-03-25 |
| 1568943728 | Michael Derrick Minardi | Physician Assistant | 538 Litchfield St Ste 102, Torrington, CT 06790-6669 | 2018-08-27 |
| 1861014508 | Kristen Devitto | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6600 | 2020-05-16 |
| 1902436793 | Allen Paul Michot IIi | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6600 | 2020-01-21 |
| 1841854874 | Hannah Catherine Schnepp | Physician Assistant | 780 Litchfield St, Torrington, CT 06790-6268 | 2019-04-25 |
| 1114411766 | Sagar Rana | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6600 | 2018-06-18 |
| 1336633296 | Jill Truesdale | Physician Assistant | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-06-14 |
| 1962940577 | Brittany Ramos | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6679 | 2017-02-02 |
| 1003362989 | Katie L Tichenor | Physician Assistant | 780 Litchfield St, Torrington, CT 06790 | 2016-08-30 |
| 1366818254 | Kathleen Renee Brenneman | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6679 | 2015-08-14 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 82240 |
Please comment or provide details below to improve the information on MATTHEW MATTIS.
| 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.