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MS. LISA MICHELLE MATUGA LISA MATUGA PA-C NPI 1982854774


NPI Information

NPI: 1982854774
Provider Name: MS. LISA MICHELLE MATUGA, LISA MATUGA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
14214 BALLANTYNE LAKE RD
SUITE 100
CHARLOTTE, NC
ZIP 28277
Phone: (704) 667-2650
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MS. Lisa Michelle Matuga, LISA MATUGA, PA-C is a medical physician assistant in Charlotte, NC with 16 years of experience. MS. Lisa Michelle Matuga, LISA MATUGA, PA-C NPI is 1982854774. 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:

14214 BALLANTYNE LAKE RD
SUITE 100
CHARLOTTE, NC
ZIP 28277-373
Phone: (704) 667-2650
Fax: (704) 544-0172

The NPI 1982854774 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.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)

The enumeration date for this NPI number is 9/29/2008 and was last updated on 2/7/2017.


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 AssistantMedical0010-02499NORTH CAROLINAYes
2363AM0700XPhysician AssistantMedical5601005362MICHIGANNo

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
12762539EMEDICARE PINNORTH CAROLINA
22762539AMEDICARE PINNORTH CAROLINA
32762539DMEDICARE PINNORTH CAROLINA
42762539MMEDICARE PINNORTH CAROLINA
58101140MEDICAIDNORTH CAROLINA
62762539FMEDICARE PINNORTH CAROLINA
72762539IMEDICARE PINNORTH CAROLINA
82762539NMEDICARE PINNORTH CAROLINA
92762539BMEDICARE PINNORTH CAROLINA
102762539LMEDICARE PINNORTH CAROLINA
112762539JMEDICARE PINNORTH CAROLINA
122762539GMEDICARE PINNORTH CAROLINA
132762539CMEDICARE PINNORTH CAROLINA
142762539OMEDICARE PINNORTH CAROLINA
152762539HMEDICARE PINNORTH CAROLINA
162762539KMEDICARE PINNORTH CAROLINA
172762539MEDICARE PINNORTH CAROLINA

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

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.