NPIMap

Individual provider Active NPI

Matthew J Meyer, PA

  • Physician Assistant
  • Sandusky, OH
National Provider Identifier
1003197237
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003354 Issued in OH
Practice address
1111 Hayes Avenue
Sandusky, OH 44870
Phone
(419) 557-7400
Fax
(419) 557-7782
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003354 OH Primary

Addresses

Primary practice location

1111 Hayes Avenue
Sandusky, OH 44870

Mailing address

PO Box 378
Sandusky, OH 44871-0378

Other practice location 1

112 Independence Way Ste 150
Clyde, OH 43410-9812
Phone (419) 547-2810

Other identifiers 1

IdentifierTypeStateIssuer
0076992MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000635 OH Practitioner - Physician Assistant 4183657216 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

2500 W Strub Rd
Sandusky, OH 44870-5390

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

629 Bartson Rd
Fremont, OH 43420-9672

Hospital & facility affiliations

  • Memorial Hospital Hospital, Fremont, OH, CCN 360156
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Bellevue Hospital Hospital, Bellevue, OH, CCN 360107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003354OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Jul 1, 2017 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Jul 1, 2017 Accepting new patients
North Coast Professional Company, LLC CurrentSince Aug 1, 2013 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

112 Independence Way
Ste 150
Clyde, OH 43410
Phone (419) 547-2810

629 Bartson Rd
Fremont, OH 43420
Phone (419) 355-9800

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1401 Bone Creek Dr
Sandusky, OH 44870
Phone (419) 621-0035

2500 W Strub Rd
Ste 110
Sandusky, OH 44870
Phone (419) 502-3526

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1003197237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAYES AVENUE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-557-7400",
            "fax_number": "419-557-7782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Independence Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "OH",
            "postal_code": "434109812",
            "country_code": "US",
            "telephone_number": "419-547-2810",
            "fax_number": "419-547-1301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076992",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.