Individual provider Active NPI

Matthew Thomas James, PA-C

  • Medical Physician Assistant
  • Port Angeles, WA
National Provider Identifier
1023326386
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
60188639 Issued in WA
Practice address
234511 Hwy 101 West
Port Angeles, WA 98363-2412
Phone
(360) 452-6252
Fax
(360) 452-6274
NPI assigned
Sep 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 60188639 WA Primary

Addresses

Primary practice location

234511 Hwy 101 West
Port Angeles, WA 98363-2412

Mailing address

121 Resolute LN
Port Ludlow, WA 98365-9617
Phone (360) 301-9423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, NV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101207000263 WA Practitioner - Physician Assistant 2466649215 Reassigns benefits to 6 organizations
I20120130000806 TX Practitioner - Physician Assistant 2466649215 Reassigns benefits to 3 organizations
I20210315001311 NV Practitioner - Physician Assistant 2466649215

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mescalero Indian HospitalGroup PAC ID 9436056181, 13 clinicians

Practice addresses (Care Compare)

318 Abalone Loop
PO Box 210
Mescalero, NM 88340-0210

P O Box
Suite 210
Mescalero, NM 88340-0210

PO Box
Suite 210
Mescalero, NM 88340-0210

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60188639WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jun 10, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 18, 2023 Accepting new patients
Washington Emergency Physician Partners, PLLC CurrentSince Jul 9, 2024 Accepting new patients
Tulalip Tribes of Washington CurrentSince Aug 19, 2024 Accepting new patients
Tulalip Tribes of Washington CurrentSince Aug 19, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jul 22, 2025 Accepting new patients
Mescalero Indian Hospital CurrentSince Oct 6, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Apr 18, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Jun 10, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 Past Accepting new patients
Washington Pain and Spine Specialists LLC Past Accepting new patients
Mahnaz Lary MD Inc PS Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

203 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2151

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

6406 Marine Dr
Ste A
Tulalip, WA 98271

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1023326386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RESOLUTE LN",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "983659617",
            "telephone_number": "360-301-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234511 HWY 101 WEST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983632412",
            "telephone_number": "360-452-6252",
            "fax_number": "360-452-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "60188639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.