MATTHEW L MCKINLAY (NPI# 1851385538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851385538 |
| Entity Type | Individual |
| Full Name | MATTHEW L MCKINLAY |
| Credential | PA-C |
| Practice Address |
2240 E Center St Pocatello ID 83201 |
| Practice Telephone | 2082338344 |
| Practice Fax Number | 2082336983 |
| Mailing Telephone | 2082338344 |
| Mailing Fax Number | 2082336983 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2013-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-298 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2240 E CENTER ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659870517 | Orthoidaho LLC | Family Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2018-02-06 |
| 1194241380 | Pro Ortho Physical Therapy Pllc | Physical Therapist | 2240 E Center St, Pocatello, ID 83201-2600 | 2017-08-18 |
| 1013455914 | Mvh Surgical Specialists LLC | Surgery | 2240 E Center St, Pocatello, ID 83201-2600 | 2017-02-10 |
| 1366989659 | William Scott Harris | Physical Therapist | 2240 E Center St, Ste D, Pocatello, ID 83201-2600 | 2017-01-24 |
| 1336519891 | Timothy E. Snell, Md, Pllc | Pain Medicine | 2240 E Center St, Pocatello, ID 83201-2600 | 2015-09-28 |
| 1548649072 | Joni Lynn Johnson | Physical Therapist | 2240 E Center St, Suite D, Pocatello, ID 83201-2600 | 2015-05-29 |
| 1932510690 | Jordan Scott Anderson | Physical Therapist | 2240 E Center St, Pocatello, ID 83201-2600 | 2014-05-15 |
| 1548699465 | Physical Therapy Specialists of Idaho | Physical Therapist | 2240 E Center St, Suite D, Pocatello, ID 83201-2600 | 2013-11-01 |
| 1740553361 | Aaron J Altenburg Md PC | Orthopaedic Surgery | 2240 E Center St, Pocatello, ID 83201 | 2012-02-13 |
| 1205085529 | Annie Marie Dixon | Physician Assistant | 2240 E Center St, Pocatello, ID 83201 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1265045199 | Julia Claire Brodie | Physician Assistant | 2352 N Apple Ln, Pocatello, ID 83204-7231 | 2020-08-29 |
| 1326651035 | Jenna Marie Castillo | Physician Assistant | 150 Taft Ave, Pocatello, ID 83201-5140 | 2020-08-24 |
| 1477021020 | Todd Cranor | Physician Assistant | 1950 E Clark St Ste 110, Pocatello, ID 83201-3315 | 2018-11-12 |
| 1700391620 | Kaitlin L Cox | Physician Assistant | 777 Hospital Way Ste 300, Pocatello, ID 83201-5176 | 2017-12-14 |
| 1003088782 | Community Care, Pllc | Physician Assistant | 1595 Yellowstone Ave, Pocatello, ID 83201 | 2008-04-02 |
| 1730372756 | Lisa A Hansen | Physician Assistant | 444 Hospital Way Ste 777, Pocatello, ID 83201-2744 | 2007-08-22 |
| 1518934181 | Paul Bieniasz | Physician Assistant | 845 W Center St Ste 200, Pocatello, ID 83204-4237 | 2006-03-02 |
| 1952917353 | Wende Christine Leavitt | Physician Assistant | 444 Hospital Way Ste 477, Pocatello, ID 83201-2744 | 2020-09-21 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| 1790334464 | Marley Rae Nielson | Physician Assistant | 333 N 18th Ave Ste B3, Pocatello, ID 83201-3358 | 2019-09-05 |
| Find all providers in POCATELLO | ||||
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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.