Lindsey Matsumoto, PA-C
Individual provider Active NPI Physician Assistant · Bath, MI
NPI 1609637842 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1609637842
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 13275 Watson Rd
Bath, MI 48808-9406 - Phone
- (517) 898-0809
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
13275 Watson Rd
Bath, MI 48808-9406
Mailing address
13275 Watson Rd
Bath, MI 48808-9406
Other providers in Bath, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.