Individual provider Active NPI

Matthew Taylor Dogan, PA-C

  • Physician Assistant
  • Beaver Falls, PA
National Provider Identifier
1821630203
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone
(724) 891-2100
Fax
(724) 891-2734
NPI assigned
Oct 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 Primary

Addresses

Primary practice location

100 Knowlson Ave
Beaver Falls, PA 15010-1634

Mailing address

100 Knowlson Ave
Beaver Falls, PA 15010-1634
Phone (724) 891-2100

Other practice location 1

2602 Wilmington Rd
New Castle, PA 16105-1537
Phone (724) 652-5505

Other identifiers 1

IdentifierTypeStateIssuer
MA061207OtherPASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthewdogan@vga.allscripts.direct.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191115002130 PA Practitioner - Physician Assistant 1759713522 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Gastroenterology Associates PCGroup PAC ID 4688646235, 25 clinicians

Practice addresses (Care Compare)

2602 Wilmington Rd
New Castle, PA 16105-1537
Phone (724) 652-5505

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midatlantic Endoscopy LLC Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince May 1, 2023 Accepting new patients
Main Line Gastroenterology Associates, PC Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Interoperability endpoints

  • Direct secure messaging: matthewdogan@vga.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1821630203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KNOWLSON AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101634",
            "telephone_number": "724-891-2100",
            "fax_number": "724-891-2734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Wilmington Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051537",
            "country_code": "US",
            "telephone_number": "724-652-5505",
            "fax_number": "724-652-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOGAN",
        "first_name": "MATTHEW",
        "middle_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA061207",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthewdogan@vga.allscripts.direct.net",
            "affiliation": "N",
            "endpointDescription": "EHR Direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Knowlson Ave",
            "city": "Beaver Falls",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150101634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.