MATTHEW JAMES HOLLAND NPI 1639990906

NPI Information

  • NPI: 1639990906
  • Provider Name: MATTHEW JAMES HOLLAND
  • Classification: Anesthesiologist Assistant - 367H00000X
  • Entity Type: Individual
  • Address: 3810 NEW VISION DR
    FORT WAYNE, IN
    ZIP 46845
  • Phone: (260) 425-6030

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NPI Details

Matthew James Holland is an anesthesiologist assistant in Fort Wayne, IN. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. Matthew James Holland NPI is 1639990906. 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:

3810 NEW VISION DR
FORT WAYNE, IN
ZIP 46845-708
Phone: (260) 425-6030
Fax: (260) 425-6027

The enumeration date for this NPI number is 10/21/2024 and was last updated on 3/6/2025.

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
1367H00000XAnesthesiologist Assistant75000197AINDIANAYes

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: 11/21/2025

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