Leah C Matheson
Leah C Matheson is a Physician Assistant in St Paul, Minnesota. Qualified in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 12
- Licensed in
- MN
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
640 Jackson Street Mc 11109ESt Paul, MN 55101-2502 Not confirmed with CMS for 10 years — call before visiting
Phone: (651) 254-3456
Fax: (651) 254-9673
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 11598 (MN) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 2096 (MN) |
Record details
| NPI number | 1619383684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 10, 2014 |
| Last updated in NPPES | October 26, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Park Nicollet Clinic — 1773 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in St Paul
-
Kristy Jordan Lichtenberg, PA
225 Smith Ave N Ste 200, St Paul, MN 55102-2697 · (651) 241-5111
-
Cora L Peine, PA
1026 W 7th St, St Paul, MN 55102-3007 · (651) 241-1000