Fidel Mata, P.A.
NPI 1558445924 belongs to Fidel Mata, P.A., a medical physician assistant with a practice location in Decatur, IL. The NPI was issued on October 24, 2006, and the record was last updated in NPPES on December 20, 2021. The record lists 2 taxonomy codes. One additional practice location is listed.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085-002235 (IL) |
| Cardiovascular Disease Physician | 207RC0000X | 085.002235 (IL) |
Practice locations
Local context
Active NPPES records list 9 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 687 in Illinois and 40,084 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Fidel Mata
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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