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NPI Code Detail

MEDICARE: MR. MATTHEW JAMES SIMPSON PA-C, CTA

MEDICARE: MR. MATTHEW JAMES SIMPSON PA-C, CTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1668NE
2172V00000XCommunity Health Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699023069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW JAMES SIMPSON PA-C, CTA
Provider Business Mailing Address
First Line : 3307 BARADA ST
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2470
Country : US
Telephone Number : 402-245-2428
Fax Number :
Provider Business Practice Location Address
First Line : 3307 BARADA ST
Second Line :
City : FALLS CITY
State : NE
Zip : 68355-2470
Country : US
Telephone Number : 402-245-2428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2012
Last Update Date : 03/17/2017

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