Matthew Ethan Johnson, PA-C
Physician Assistant in State College, PA. Individual provider (NPI-1).
NPI number1023398302
StatusActive
Last updated in NPPESSep 26, 2025
Details
- NPI
- 1023398302
- Entity type
- Individual (NPI-1)
- Name
- Mr. Matthew Ethan Johnson
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2011
- Certification date
- Sep 26, 2025
- Last updated
- Sep 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | PA | Yes |
| 363A00000X | Physician Assistant | 2609 | CT |
Practice location
164 Greenview Dr Ste 345State College, PA 16803-2106
Phone 814-234-7599 · Fax 814-237-2126
Mailing address
155 Wellness WayState College, PA 16803-6702
Phone 814-231-7000 · Fax 814-231-7098
Other practice locations
700 High St
Williamsport, PA 17701-3100
Williamsport, PA 17701-3100
Phone 703-585-0221
24 Stevens St
Norwalk, CT 06856
Norwalk, CT 06856
Phone 203-852-2189
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in State College, PA
- Patrick John Allen, PA-CNPI 1427743269
- Kevin J AndersonNPI 1518528231
- Kimberly Ann Andres, PACNPI 1568674513
- Chase William Bamat, PA-CNPI 1659723559
- Kristi L. Barr, PA-CNPI 1528021268
- Cara Kathleen Bennett, PA-CNPI 1679646327
- Marci Eileen Bialas, PA-CNPI 1154752095
- Ashley Marie Bowser, PA-CNPI 1033568043
- Morgan T Brown, PA-CNPI 1649637521
- Kelley E Burger, PA-CNPI 1700190444
All 104 Physician Assistant providers in State College · All 1,987 providers in State College
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.