Provider Demographics
NPI:1538140314
Name:DOWS, MATTHEW M (PA)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:M
Last Name:DOWS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 FISHER RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5122
Mailing Address - Country:US
Mailing Address - Phone:717-766-1795
Mailing Address - Fax:717-697-6575
Practice Address - Street 1:2140 FISHER RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5122
Practice Address - Country:US
Practice Address - Phone:717-766-1795
Practice Address - Fax:717-697-6575
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054741363AM0700X, 363AM0700X
PAOA002583363AM0700X, 363AM0700X
MDC0003496363AM0700X
NC0010-00436363AS0400X
CO1836363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COQ07200Medicare UPIN
COC800822Medicare ID - Type Unspecified
NCC800822Medicare ID - Type Unspecified
NCQ07200Medicare UPIN