Sally Matika, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11398 Issued in TX

Practice address

6818 Austin Center Blvd Ste 204
Austin, TX 78731-3100

Phone

(512) 867-6211

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smatika@westlake.emadirect.md

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.

• Elisabeth Potter MD PLLC

  • Plastic Surgery Physician
  • Austin, TX
  • NPI 1386000800
  NPD
• Austin Surgical Arts

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Austin, TX
  • NPI 1083806954
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1003339649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313100",
            "telephone_number": "512-867-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 AUSTIN CENTER BLVD STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313100",
            "telephone_number": "512-867-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIKA",
        "first_name": "SALLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "PA11398",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Mathis
• Stephanie Marie Mathis
• David Mathisen, BCBA
• Mathue Ortho PLLC
• Barbara Jeanne Matijevich, LPC-ASSOCIATE
• Alexander Jamal Matlock, MD
• Adriana Marie Matos, PA-C
• Matrescence Occupational Therapy, LLC
• Sarena Renee Matriano-Lim, MD
• Matrix Therapy, LLC

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.