PATRICK MATHENY PA-C NPI 1073534814

NPI Information

NPI: 1073534814
Provider Name: PATRICK MATHENY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3620 JOSEPH SIEWICK DR
STE 100
FAIRFAX, VA
ZIP 22033
Phone: (703) 810-5223
Get Directions

Patrick Matheny, PA-C is a medical physician assistant in Fairfax, VA. Patrick Matheny, PA-C NPI is 1073534814. 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:

3620 JOSEPH SIEWICK DR
STE 100
FAIRFAX, VA
ZIP 22033-757
Phone: (703) 810-5223
Fax: (703) 810-5403

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/26/2013.

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	110840150	VIRGINIA	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
1	S44394C9S	MEDICARE ID-TYPE UNSPECIFIED
2	538695	MEDICARE PIN
3	R23292	MEDICARE UPIN

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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