Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mathew Theron Southwick, PA-C

Individual provider Physician Assistant · NPI 1346798204

Mathew Theron Southwick, PA-C is a Physician Assistant in Farmington, New Mexico. Qualified in 2016, 10 years ago. Practices with Orthopedic Associates PA, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2300 E 30th St Bldg D-101
Farmington, NM 87401-8991
Phone: (505) 208-6280
Fax: (505) 564-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1346798204
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Orthopedic Associates Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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