MATTHEW PETERSEN PA NPI 1053764639

NPI Information

NPI: 1053764639
Provider Name: MATTHEW PETERSEN, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
10425 HUFFMEISTER RD STE 320
HOUSTON, TX
ZIP 77065
Phone: (281) 955-2650
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Matthew Petersen, PA is a surgical physician assistant in Houston, TX with 8 years of experience. Matthew Petersen, PA NPI is 1053764639. 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:

10425 HUFFMEISTER RD STE 320
HOUSTON, TX
ZIP 77065-429
Phone: (281) 955-2650
Fax: (281) 955-5875

The NPI 1053764639 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 enumeration date for this NPI number is 7/19/2016 and was last updated on 4/28/2022.

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
1	363AS0400X	Physician Assistant	Surgical			Yes

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: 4/28/2024

NPI Synchronization or Removal

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