FRANK MATARAZZO PA NPI 1740295104

NPI Information

NPI: 1740295104
Provider Name: FRANK MATARAZZO, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
777 BANNOCK ST
MC 7782
DENVER, CO
ZIP 80204
Phone: (303) 436-6000
Get Directions

Frank Matarazzo, PA is a medical physician assistant in Denver, CO. Frank Matarazzo, PA NPI is 1740295104. 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:

777 BANNOCK ST
MC 7782
DENVER, CO
ZIP 80204-507
Phone: (303) 436-6000

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/8/2007.

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	194	COLORADO	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
1	14353342	MEDICAID	COLORADO
2	P23207	MEDICARE UPIN	COLORADO
3	D11531	MEDICARE ID-TYPE UNSPECIFIED	COLORADO

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

NPI Synchronization or Removal

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