Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW ETHAN JOHNSON, PA-C
Active Sole ProprietorMR. MATTHEW ETHAN JOHNSON, PA-C is a Physician Assistant healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1023398302 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1023398302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2011 (14.98295209147 yrs)
- Last Updated
- Sep 26, 2025
- License
-
2609 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
164 GREENVIEW DR STE 345STATE COLLEGE, PA, 168032106Browse PA providers · Browse ZIP 16803
- Phone
- 8142347599
- Fax
- 8142372126
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in STATE COLLEGE, PA
| Name | Credential | NPI |
|---|---|---|
| SCOTT E BUTLER | PA-C | 1194725812 |
| JENNIFER R HOSBAND | PA | 1356334981 |
| VICTORIA D CASE | PA-C | 1205824075 |
| MR. ERIC S. KRONER | PA-C | 1730149998 |
| MRS. RENEE G JURY | PA-C | 1609838903 |
| DAWN M. SANZOTTI | PA-C | 1306809421 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.