Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW RYAN BIENZ, PA
ActivePhysician Assistant · FORT WAYNE, IN
Registration Details
- NPI Number
- 1861741670
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2012 (13.633446261169 yrs)
- Last Updated
- Oct 23, 2018
- License
-
10001463A (IN)
Practice Information
- Address
-
5050 N CLINTON STFORT WAYNE, IN, 468255886Browse IN providers · Browse ZIP 46825
- Phone
- 2604848551
- Fax
- 2604825060
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| BRIAN T LAURSEN | P.A. | 1164425187 |
| GRETCHEN L CRAMPTON | P.A. | 1275536211 |
| DEBORAH S CASTILE | P.A. | 1699778753 |
| MR. CHRISTOPHER A FEGLEY | PA | 1003814476 |
| DARLENE K HOOVER | PA-C | 1184625527 |
| JENNIFER R. HOCKEMEYER | PA | 1376545111 |
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.