KERRI MARIE MATEER P.A.-C. NPI 1184611204

NPI Information

NPI: 1184611204
Provider Name: KERRI MARIE MATEER, P.A.-C.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
875 POPLAR CHURCH RD
SUITE 400
CAMP HILL, PA
ZIP 17011
Phone: (717) 724-6450
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Kerri Marie Mateer, P.A.-C. is a medical physician assistant in Camp Hill, PA with 19 years of experience. Kerri Marie Mateer, P.A.-C. NPI is 1184611204. 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:

875 POPLAR CHURCH RD
SUITE 400
CAMP HILL, PA
ZIP 17011-203
Phone: (717) 724-6450
Fax: (717) 724-6451

The NPI 1184611204 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 10/4/2005 and was last updated on 6/11/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA052135	PENNSYLVANIA	Yes

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
1	092873EC5	OTHER	PENNSYLVANIA	MEDICARE PIN - ASSOC CARD
2	P00362151	OTHER	PENNSYLVANIA	MEDICARE RAILROAD - ASSOC
3	108766RQJ	OTHER	PENNSYLVANIA	MEDICARE PIN - PINNACLEHE

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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