Provider Demographics
NPI:1598766008
Name:MATCHETT, BECKY LYNN (PA-C)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:LYNN
Last Name:MATCHETT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:LYNN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1307 FEDERAL ST
Mailing Address - Street 2:2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4705
Mailing Address - Country:US
Mailing Address - Phone:187-766-0677
Mailing Address - Fax:412-359-8055
Practice Address - Street 1:1307 FEDERAL ST
Practice Address - Street 2:2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4705
Practice Address - Country:US
Practice Address - Phone:187-766-0677
Practice Address - Fax:412-359-8055
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2012-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA050643363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP62323Medicare UPIN
PA59114NH3Medicare PIN