COURTNEY R MATKOVICH (NPI# 1942696521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942696521 |
| Entity Type | Individual |
| Full Name | COURTNEY R MATKOVICH |
| Credential | CRNP |
| Practice Address |
145 W 23rd St Ste 202 Erie PA 16502-2858 |
| Practice Telephone | 8144525081 |
| Practice Fax Number | 8144527918 |
| Mailing Telephone | 8144525081 |
| Mailing Fax Number | 8144527918 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP014832 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1030224520002 | 05 |
| Street Address |
145 W 23RD ST STE 202 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165493 | David C. Lesseski | Family Medicine | 145 W 23rd St Ste 202, Erie, PA 16502-2858 | 2005-06-24 |
| 1629511571 | Tina Recker | Nurse Practitioner | 145 W 23rd St Ste 202, Erie, PA 16502-2858 | 2016-11-27 |
| 1598160962 | Kara Richardson | Physician Assistant | 145 W 23rd St Ste 202, Erie, PA 16502-2858 | 2014-10-28 |
| 1306800040 | Shawn C Zeto | Internal Medicine | 145 W 23rd St Ste 202, Erie, PA 16502-2858 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127027 | Dustin T Schumacher | Nurse Practitioner | 100 Peach St Ste 201, Erie, PA 16507-1423 | 2016-11-18 |
| 1316499973 | Angel F Sunafrank | Nurse Practitioner | 300 State St Ste 400a, Erie, PA 16507-1478 | 2016-10-31 |
| 1750670006 | Therese Raymonde Christiansen | Nurse Practitioner | 333 State St Ste 400a, Erie, PA 16507-1450 | 2011-04-06 |
| 1679806616 | Laura Jane Merriott | Nurse Practitioner | 4402 Peach St., Suite 302, Erie, PA 16509 | 2009-09-09 |
| 1902046501 | Denise Joanne Pero | Nurse Practitioner | 271 Edgewater Cir, Erie, PA 16509-3785 | 2009-02-23 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1598715849 | Carol A Hager | Nurse Practitioner | 300 State St Ste 107, Erie, PA 16507-1428 | 2006-05-10 |
| 1639139645 | Mary Alice Mcginnis | Nurse Practitioner | 1700 Peach St Ste 200, Erie, PA 16501-2134 | 2006-03-24 |
| 1720069206 | Paul J Dill | Nurse Practitioner | 1910 Sassafras St Ste 200, Erie, PA 16502-2716 | 2005-11-10 |
| 1053304998 | Mary Kathleen Ditullio | Nurse Practitioner | 17 Merline Ave, Erie, PA 16509-1567 | 2005-08-25 |
| Find all providers in ERIE | ||||
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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.