Individual provider Active NPI

Matthew Dorer, PA-C, AT

  • Physician Assistant
  • Parma, OH
National Provider Identifier
1932504222
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
APP-001012951 Issued in OH
Practice address
2713 Lincoln Ave
Parma, OH 44134-1923
Phone
(216) 313-1712
NPI assigned
Oct 29, 2014
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X APP-001012951 OH Primary
Athletic Trainer 2255A2300X AT005119 OH

Addresses

Primary practice location

2713 Lincoln Ave
Parma, OH 44134-1923

Mailing address

2713 Lincoln Ave
Parma, OH 44134-1923
Phone (216) 313-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251203001893 OH Practitioner - Physician Assistant 7113410606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Med Urgent Care LLCGroup PAC ID 5799016358, 49 clinicians

Practice addresses (Care Compare)

17406 Royalton Rd
Strongsville, OH 44136-5151
Phone (440) 472-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005119OHMDAthletic Trainer
APP-001012951OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quick Med Urgent Care LLC CurrentSince Dec 4, 2025 Accepting new patients

Locations

17406 Royalton Rd
Strongsville, OH 44136
Phone (440) 472-0900

3499 Belmont Ave
Youngstown, OH 44505
Phone (330) 476-2260

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: matthew.dorer.1@19801.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1932504222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 LINCOLN AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341923",
            "telephone_number": "216-313-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 LINCOLN AVE",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341923",
            "telephone_number": "216-313-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORER",
        "first_name": "MATTHEW",
        "credential": "PA-C, AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "APP-001012951",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.