MR. PAUL MATTOX


Address: 7910 E Washington St Ste 110, Indianapolis, IN 46219
Phone: 3173553201

MR. PAUL MATTOX (NPI# 1568562007) 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) 1568562007
Entity Type Individual
Full Name MR. PAUL MATTOX
Credential PA-C
Practice Address 7910 E Washington St Ste 110
Indianapolis
IN 46219
Mailing Address 6626 E 75th St Ste 500
Indianapolis
IN 46250-2890
Practice Telephone 3173553201
Enumeration Date 2006-09-24
Last Update Date 2018-12-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10000648A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300018336 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1501 Hartford St, Lafayette, IN 479042134 7654236011 7654285851

Other Providers PAUL MATTOX

NPI Name Taxonomy Address Enumeration
1821105644 Paul A Mattox Psychiatry & Neurology 1125 Three Springs Blvd, Durango, CO 81301-9033 2006-08-25

Office Location

Street Address 7910 E WASHINGTON ST STE 110
City INDIANAPOLIS
State IN
Zip Code 46219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053420828 Ryo S. Choi Family Medicine 7910 E Washington St Ste 110, Indianapolis, IN 46219-6803 2006-08-29
1538655212 Molly Elizabeth Kidney Nurse Practitioner 7910 E Washington St Ste 110, Indianapolis, IN 46219 2018-07-06
1740773696 Chelsea Hall Physician Assistant 7910 E Washington St Ste 110, Indianapolis, IN 46219 2018-06-14
1427507904 Michelle L Ferguson Nurse Practitioner 7910 E Washington St Ste 110, Indianapolis, IN 46219-5563 2016-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518571157 Kara Kathryn Berning Dietitian, Registered 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 2020-09-01
1780223750 Erin Cannon Specialist 1543 N Post Rd, Indianapolis, IN 46219 2019-12-23
1073151239 Tanicka Elizabeth Word Behavior Technician 6635 E 21st Street, West Building, Indianapolis, IN 46219 2019-12-18
1790322527 Arlington Westend Dental LLC Dentist 5900 E 10th St, Indianapolis, IN 46219 2019-11-27
1336645985 Lynell Westbrook Gates Counselor 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 2018-04-03
1861991689 Comfort Dental LLC Clinic/Center 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 2018-02-07
1467811570 Fresenius Medical Care Indiana, LLC Clinic/Center 6701 E 21st St, Indianapolis, IN 46219 2016-02-17
1992197289 Casey Baker Physician Assistant 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 2015-02-24
1811398407 Adam Romesser Pharmacist 8907 E. 10th St., Indianapolis, IN 46219 2014-09-15
1225448673 Justin Stauffer Pharmacist 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 2014-05-06
Find all providers in zip 46219

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
1639779739 Brock Sokolowski Physician Assistant 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 2020-10-28
1699373357 Dillon Etter Physician Assistant 2848 N Delaware St, Indianapolis, IN 46205-4118 2020-10-15
1962017210 Taylor Lee Bowen Physician Assistant 2760 Woodwind Way, Indianapolis, IN 46268-4233 2020-09-14
1912512476 William Terrell Parmenter Physician Assistant 2230 English Ave, Indianapolis, IN 46201-4017 2020-09-11
1457966376 Angela Shearon Physician Assistant 4325 N College Ave, Indianapolis, IN 46205-1931 2020-09-09
1639797004 John Padraic Allbritton Physician Assistant 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 2020-07-11
1154949907 Jonathon Michael Hirsch Physician Assistant 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 2020-07-08
1437776838 Megan Leanna Reynolds Physician Assistant 3841 Rookwood Ave, Indianapolis, IN 46208-3926 2020-07-01
1669099412 Alisa Elaine Schrump Physician Assistant 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 2020-06-28
1144846148 Melanie M. Herrold Physician Assistant 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 2020-06-25
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Competitor

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City INDIANAPOLIS
Zip Code 46219

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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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