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MATTHEW DAVID DOUGHMAN PA-C NPI 1801190665


NPI Information

NPI: 1801190665
Provider Name: MATTHEW DAVID DOUGHMAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: SOMC MEDICAL CARE FOUNDATION, INC.

PECOS Registration: Yes

Address:
1711 27TH ST STE 102
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 356-1709
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Matthew David Doughman, PA-C is a medical physician assistant in Portsmouth, OH with 13 years of experience. Matthew David Doughman, PA-C NPI is 1801190665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1711 27TH ST STE 102
PORTSMOUTH, OH
ZIP 45662-657
Phone: (740) 356-1709
Fax: (740) 353-3027

The NPI 1801190665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

The enumeration date for this NPI number is 1/7/2011 and was last updated on 12/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical50.003770RXOHIOYes
2363AM0700XPhysician AssistantMedicalPA1706KENTUCKYNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100219770MEDICAIDKENTUCKY
2TC091OTHERKENTUCKYKENTUCKY MEDICAL BOARD
30086440MEDICAIDOHIO
41103317OTHERNCCPA
5PA1706OTHERKENTUCKYKENTUCKY MEDICAL BOARD

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: 11/14/2023

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.