Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew J Anderson, PA-C

Individual provider Surgical Physician Assistant · NPI 1114171733

Matthew J Anderson, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2008, 18 years ago. Practices with Nm Pacs 2 LLC, a 105-clinician group. Licensed in Arizona.

Years since qualifying
18
Licensed in
AZ
In the registry since
2008
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

124 W Thomas Rd Ste 103
Phoenix, AZ 85013-4415
Phone: (602) 406-4325
Fax: (602) 406-4377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4337 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4337 (AZ)

Record details

NPI number1114171733
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 10, 2008
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Nm Pacs 2 Llc — 105 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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