MATTHEW EISEN PA-C NPI 1619368008

NPI Information

NPI: 1619368008
Provider Name: MATTHEW EISEN, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1560 E SHERMAN BLVD STE 9
MUSKEGON, MI
ZIP 49444
Phone: (231) 672-8643
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Matthew Eisen, PA-C is a surgical physician assistant in Muskegon, MI with 10 years of experience. Matthew Eisen, PA-C NPI is 1619368008. 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:

1560 E SHERMAN BLVD STE 9
MUSKEGON, MI
ZIP 49444-867
Phone: (231) 672-8643
Fax: (231) 672-8651

The NPI 1619368008 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 2/6/2015 and was last updated on 4/17/2018.

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	363AS0400X	Physician Assistant	Surgical	52281	CALIFORNIA	Yes

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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