Craig Isao Matsumoto, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA0002698-L Issued in PA

Practice address

900 Old Marple Rd
Springfield, PA 19064-1211

Phone

(610) 328-1166

Fax

(610) 328-2023

NPI assigned

Feb 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Remote Neuromonitoring Physicians ,PC

  • Neurology Physician
  • Brentwood, TN
  • NPI 1124253075
  NPD (past)

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1720310790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STAFFORD PL",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802548",
            "telephone_number": "856-228-2114",
            "fax_number": "610-328-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD MARPLE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641211",
            "telephone_number": "610-328-1166",
            "fax_number": "610-328-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMOTO",
        "first_name": "CRAIG",
        "middle_name": "ISAO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA0002698-L",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00086700",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009075-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Martin, MD
• Marymorbariatricsllc
• Terri Jo Anne Massey, LCSW
• William Francis Mastro III, M.ED.
• Isabelle Frances Mastropietro
• Jeffrey Piper Matthews, DO
• Sally D. Maurer, LCSW
• Maximum Rehab,Inc
• Michelle Maylie
• Joanna Mazepink, RN

• Physician Assistant in Springfield, PA
• Providers in Springfield, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.