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

Matthew Sotheran, PA-C

Individual provider Physician Assistant · NPI 1336788090

Matthew Sotheran, PA-C is a Physician Assistant in Wentzville, Missouri. Qualified in 2019, 7 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1601 Wentzville Pkwy Ste 117
Wentzville, MO 63385-3814
Phone: (636) 332-8477
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1475 Kisker Rd Ste 100, Saint Charles, MO 63304-8787 — (636) 332-8477
  • 900 E Cherry St, Troy, MO 63379-1429 — (636) 528-8585

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2019046725 (MO)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1336788090
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 29, 2019
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wentzville