CHRISTOPHER MATICH (NPI# 1760859300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760859300 |
Entity Type | Individual |
Full Name | CHRISTOPHER MATICH |
Credential | PA-C |
Practice Address |
6360 S 3000 E Ste 100 Salt Lake City UT 84121-6923 |
Practice Telephone | 8013651032 |
Practice Fax Number | 8013651033 |
Mailing Telephone | 8013651032 |
Mailing Fax Number | 8013651033 |
Enumeration Date | 2015-08-31 |
Last Update Date | 2019-10-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 5539823-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
5539823-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6360 S 3000 E STE 100 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84121-6923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801340823 | Lorna Baer | Nurse Practitioner | 6360 S 3000 E, Suite 220, Salt Lake City, UT 84121-6923 | 2016-08-08 |
1417312604 | Shannon Michelle Montague | Nurse Practitioner | 6360 S 3000 E, 210, Salt Lake City, UT 84121-6923 | 2015-12-15 |
1821468109 | Davidson Orthopedics LLC | Orthopaedic Surgery | 6360 S 3000 E, Suite 200, Salt Lake City, UT 84121-6923 | 2015-09-30 |
1851777353 | Utah Orthopedic, Spine & Injury Center | Orthopaedic Surgery | 6360 S 3000 E, Salt Lake City, UT 84121-6923 | 2015-08-06 |
1194119149 | Emily Bloomquist | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2015-03-26 |
1982007530 | Rebecca Thatcher | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2014-09-26 |
1427463439 | Anesthesia Associates of Utah LLC | Nurse Anesthetist, Certified Registered | 6360 S 3000 E, Suite 320, Salt Lake City, UT 84121-6923 | 2014-06-27 |
1043659055 | Benjamin Arthur Thomas | Podiatrist | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2013-06-24 |
1831450113 | Physical Therapy and Sports | Physical Therapist | 6360 S 3000 E, Suite 210, Salt Lake City, UT 84121-6923 | 2012-06-04 |
1295003234 | Abbie Lyn Siebenhaar | Physician Assistant | 6360 S 3000 E, Ste 310, Salt Lake City, UT 84121-6923 | 2011-12-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
Find all providers in zip 84121 |
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 |
---|---|---|---|---|
1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
1245885458 | Adam Douglas Whitney | Physician Assistant | 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 | 2019-08-05 |
1306498654 | Jarred J Entringer | Physician Assistant | 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 | 2019-07-16 |
1588216840 | Christina Thomas | Physician Assistant | 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 | 2019-07-16 |
1770135022 | Evar Saelee | Physician Assistant | 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 | 2019-07-16 |
1982263471 | Ashley Marten | Physician Assistant | 3610 E Cascade Way, Salt Lake City, UT 84109-2307 | 2019-06-10 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84121 |
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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.