MATTHEW LOUDON (NPI# 1922498781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922498781 |
| Entity Type | Individual |
| Full Name | MATTHEW LOUDON |
| Credential | PA-C |
| Practice Address |
3331 E Meridian Park Loop Wasilla AK 99654-7294 |
| Practice Telephone | 9073572332 |
| Practice Fax Number | 9073572344 |
| Mailing Telephone | 9073572332 |
| Mailing Fax Number | 9073572344 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2016-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PADA1257 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | STATE OF ALASKA PERMANENT LICENSE | PADA 1257 | 01 |
| Street Address |
3331 E MERIDIAN PARK LOOP |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316953409 | Samuel Lee Abbate | Internal Medicine | 3331 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2006-07-31 |
| 1669643896 | Adonai Diabetes and Endocrinology Center | Internal Medicine | 3331 E Meridian Park Loop, Wasilla, AK 99654-7299 | 2008-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549098 | Craig Michael Brumagin | Physician Assistant | 4961 E Mayflower Ln, Wasilla, AK 99654-7708 | 2019-10-10 |
| 1528503687 | Northwoods Family Medicine, Inc | Physician Assistant | 1301 E. Palmer-wasilla Hwy, #400, Wasilla, AK 99654 | 2016-12-28 |
| 1669898474 | Louis Michael Smith | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2014-03-17 |
| 1083701858 | Gerald Edward Manning II | Physician Assistant | 5050 Dunbar, Suite D, Wasilla, AL 99654 | 2006-10-05 |
| 1427049238 | Scott William Schafer | Physician Assistant | 3066 E Meridian Park Loop, Capstone Urgent Care, Wasilla, AK 99654-7372 | 2005-11-01 |
| 1043738461 | Nathan Fitzgerald | Physician Assistant | 22301 W Alsop Rd, Wasilla, AK 99623-5023 | 2017-09-06 |
| 1194119313 | Adrian Kristin Giani | Physician Assistant | 1700 E Bogard Rd Ste 102, Wasilla, AK 99654-6563 | 2015-03-25 |
| 1629461488 | David Arthur | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2015-03-17 |
| 1548426471 | Leah M Bramer | Physician Assistant | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2008-07-30 |
| 1669552550 | John Wayne Moore | Physician Assistant | 950 Bogard Rd, Suite 233, Wasilla, AK 99654-7105 | 2006-10-16 |
| Find all providers in WASILLA | ||||
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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.