National Provider Identifier

Ginny Marie Moyer-Matteson, RPA-C

Ginny Marie Moyer-Matteson, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Jamestown, NY and a listed phone number of (716) 483-2320.

NPI 1255378980Jamestown, NYMedical Physician Assistant

Profile Overview

NPI
1255378980
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
June 01, 2006
Last Updated
March 23, 2023

Practice Location

  • 15 S Main St
  • Suite 110
  • Jamestown, NY 14701-6626

Phone: (716) 483-2320

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1255378980
Entity Type
Individual
Last Name
Moyer-Matteson
First Name
Ginny
Middle Name
Marie
Name Prefix
MS.
Credential
RPA-C
Provider Other Last Name
Greene
Provider Other First Name
Ginny
Provider Other Credential Text
RPA-C
Provider Other Last Name Type Code
1
Mailing Street Address
15 S Main St
Mailing Address Line 2
Suite 110
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6626
Mailing Country
US
Mailing Phone
(716) 483-2320
Mailing Fax
(716) 484-2582
Practice Street Address
15 S Main St
Practice Address Line 2
Suite 110
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6626
Practice Country
US
Practice Phone
(716) 483-2320
Practice Fax
(716) 484-2582
Enumeration Date
June 01, 2006
Last Updated
March 23, 2023
Sex
Female
Sole Proprietor
No
Certification Date
March 23, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)