Healthcare Provider Details

I. General information

NPI: 1912362625
Provider Name (Legal Business Name): MATTHEW RYAN BOYD MAYO PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SA-1 2401 E STREET NW
WASHINGTON DC
20037
US

IV. Provider business mailing address

1201 PATTON AVE
ASHEVILLE NC
28806-2707
US

V. Phone/Fax

Practice location:
  • Phone: 202-663-3974
  • Fax:
Mailing address:
  • Phone: 828-252-4878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-06120
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA200001748
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: