NPI 1396135802 · live from the CMS NPI Registry
Matthew Barker, PA-C
Physician Assistant in Richmond, VA. National Provider Identifier 1396135802, active.
NPI record
| NPI | 1396135802 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 7101 Jahnke Rd, Richmond, VA 23225 |
| Practice phone | 804-320-3911 |
| Mailing address | 107 Turkey Hill Ct, Stroudsburg, PA 18360 |
| Enumerated | February 4, 2015 |
| Last updated | March 24, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 2156 (WV) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Physician Assistant primary | 363A00000X | 0110-004850 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.