Wayne Allen Mathews, PAC

Physician Assistant · Decatur, IL

Individual Active NPI

NPI number 1891786943

Practice location

250 W Kenwood Ave
Decatur, IL 62526-4371
Phone
(217) 872-3800
Fax
(217) 872-0849

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NPI record

NPI
1891786943
Entity type
Individual (Type 1)
Enumeration date
October 28, 2005
Last updated
December 12, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085-000394 IL

About Wayne Mathews

Wayne Allen Mathews, PAC is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 250 W Kenwood Ave, Decatur, IL 62526-4371. The NPI number 1891786943 was assigned on October 28, 2005 and the record was last updated on December 12, 2013.

Wayne Mathews lists a license in the registry: #085-000394 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne Allen Mathews, PAC?

The NPI number is 1891786943.

What is the phone number of Wayne Mathews?

The phone number listed for the practice location is (217) 872-3800.

Where is Wayne Mathews located?

250 W Kenwood Ave, Decatur, IL 62526-4371.

What is the taxonomy code for Wayne Mathews?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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