Active NPI
Max Bochert Matheson, PA-C
- Medical Physician Assistant
- Las Vegas, NV
National Provider Identifier
1093580342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA0677
- Practice address
- 1800 W Charleston Blvd
Las Vegas, NV 89102-2386 - Phone
- (702) 383-1958
- NPI assigned
- Nov 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA0677 | NV | Primary |
Addresses
Primary practice location
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Mailing address
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0677 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Emergency Services Scherr LTD | Physician Assistant | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Physician Assistant | Current | Accepting new patients |
Locations
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
-
- Emergency Medicine Physician
- Sparks, NV
- NPI 1881151231
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
Physician Assistant
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1518120971
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1093580342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022386",
"telephone_number": "702-383-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022386",
"telephone_number": "702-383-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHESON",
"first_name": "MAX",
"middle_name": "BOCHERT",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-16",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA0677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.