Individual provider Active NPI

Matthew McPhee, PA-C

  • Medical Physician Assistant
  • Manchester, NH
National Provider Identifier
1376775171
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0739 Issued in NH
Practice address
100 McGregor St
Manchester, NH 03102-3730
Phone
(603) 663-6478
Fax
(603) 663-6645
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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 0739 NH Primary

Addresses

Primary practice location

100 McGregor St
Manchester, NH 03102-3730

Mailing address

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 663-6478

Other identifiers 2

IdentifierTypeStateIssuer
30337619MedicaidNH
P00906321OtherNHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, VT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091104000320 NH Practitioner - Physician Assistant 0941348429 Reassigns benefits to 2 organizations
I20250613001707 VT Practitioner - Physician Assistant 0941348429 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0739NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital .Inc CurrentSince May 1, 2025 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Mar 11, 2024 Accepting new patients
Seacoast Emergency Physicians, PC CurrentSince Oct 20, 2014 Accepting new patients
Springfield Hospital Current Accepting new patients
Skilled Medical Provider Group PLLC PastSince Mar 1, 2012 Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1376775171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6478",
            "fax_number": "603-663-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGREGOR ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023730",
            "telephone_number": "603-663-6478",
            "fax_number": "603-663-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHEE",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "0739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30337619",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00906321",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.