Matt Havens, MSW LCSW, MS PA-C

Individual Active
NPI 1992912216
Medical Physician Assistant Bolivar, MO

NPI 1992912216 belongs to Matt Havens, MSW LCSW, MS PA-C, a medical physician assistant with a practice location in Bolivar, MO. The NPI was issued on May 17, 2007, and the record was last updated in NPPES on January 27, 2017. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed
Clinical Social Worker 1041C0700X 2005029085 (MO)

Practice location

1300 N Oakland Ave
Suite A
Bolivar, MO 65613-3018
Phone: (417) 326-7676

Local context

Active NPPES records list 4 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 3 of them within 10 miles.

The same primary taxonomy is listed by 324 in Missouri 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
Matt Havens
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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