Individual provider Active NPI

Matthew Steven Maas, PA-C

  • Physician Assistant
  • Clarkston, MI
National Provider Identifier
1730664822
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008803 Issued in MI
Practice address
6400 Waldon Center Dr
Clarkston, MI 48346-4808
Phone
(810) 953-0500
Fax
(810) 953-0031
NPI assigned
Sep 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601008803 MI Primary

Addresses

Primary practice location

6400 Waldon Center Dr
Clarkston, MI 48346-4808

Mailing address

6400 Waldon Center Dr
Clarkston, MI 48346-4808
Phone (810) 953-0500

Other practice location 1

1 Hurley Plz
Flint, MI 48503-5902
Phone (810) 262-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181011002344 MI Practitioner - Physician Assistant 2466704895 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Oct 1, 2018 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince May 1, 2021 Accepting new patients
Hurley Medical Center Physician Assistant CurrentSince May 1, 2021 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center Physician Assistant CurrentSince May 1, 2021 Accepting new patients

Locations

1 Hurley Plz
Ste 2D
Flint, MI 48503

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

Organizations & group practices 9

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1730664822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 WALDON CENTER DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464808",
            "telephone_number": "810-953-0500",
            "fax_number": "810-953-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 WALDON CENTER DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464808",
            "telephone_number": "810-953-0500",
            "fax_number": "810-953-0031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hurley Plz",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "810-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAAS",
        "first_name": "MATTHEW",
        "middle_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.