Daniel Matthes
Physician Assistant, Medical in Fort Carson, CO. Individual provider (NPI-1).
NPI number1053979401
StatusActive
Last updated in NPPESMay 31, 2019
Details
- NPI
- 1053979401
- Entity type
- Individual (NPI-1)
- Name
- Daniel Matthes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2019
- Last updated
- May 31, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
1650 Cochrane CirFort Carson, CO 80913-4613
Phone 805-712-2873
Mailing address
1650 Cochrane CirFort Carson, CO 80913-4613
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 Medical Physician Assistant providers in Fort Carson, CO
- Stephen Beard, P.A.-CNPI 1518930460
- Ronald Anthony Deutsch, PANPI 1134108509
- Matthew Ryan Hicks, PA-CNPI 1508101627
- Gregory Joe Robinson, PANPI 1114024445
- Phillip Mark Skeen, PANPI 1992788822
- Elfriede E Vernon, PANPI 1205003324
All 7 Medical Physician Assistant providers in Fort Carson · All 947 providers in Fort Carson
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