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AMANDA MATUSIK PA-C NPI 1548548993


NPI Information

NPI: 1548548993
Provider Name: AMANDA MATUSIK, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
34208 VAN DYKE AVE
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 554-7136
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Amanda Matusik, PA-C is a physician assistant in Sterling Heights, MI. The provider is 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. Amanda Matusik, PA-C NPI is 1548548993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34208 VAN DYKE AVE
STERLING HEIGHTS, MI
ZIP 48312-647
Phone: (586) 554-7136
Fax: (586) 883-9694

The enumeration date for this NPI number is 8/2/2011 and was last updated on 7/1/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantTC021KENTUCKYNo
2363A00000XPhysician Assistant5601007420MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K025390MEDICARE PINKENTUCKY
25601007420OTHERMICHIGANPHYSICIAN ASSISTANT STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.