Active NPI
Stephanie Matura, MSPA
- Physician Assistant
- Hilliard, OH
National Provider Identifier
1497302830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.006087RX
- Practice address
- 6273 Janes Way
Hilliard, OH 43026-7281 - Phone
- (740) 418-7522
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.006087RX | OH | Primary |
Addresses
Primary practice location
6273 Janes Way
Hilliard, OH 43026-7281
Mailing address
6273 Janes Way
Hilliard, OH 43026-7281
Phone (740) 418-7522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Mikhail Novikov MD | Past | Accepting new patients |
Locations
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
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.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Specialist
- Columbus, OH
- NPI 1659455145
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
-
- Surgery Physician
- Northborough, MA
- NPI 1124418058
-
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
-
- Surgery Physician
- Attleboro, MA
- NPI 1467793380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1497302830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6273 JANES WAY",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267281",
"telephone_number": "740-418-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6273 JANES WAY",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267281",
"telephone_number": "740-418-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATURA",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "MSPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.006087RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.