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

Mr. Matthew Alan Anderson, PA

Individual provider Medical Physician Assistant · NPI 1174238042

Mr. Matthew Alan Anderson, PA is a Physician Assistant in Fairfield, Ohio. Qualified in 2022, 4 years ago. Practices with Tri State Urologic Services PSC Inc, a 74-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

925 Deis Dr
Fairfield, OH 45014-8130
Phone: (513) 841-7900
Fax: (513) 841-7901
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1174238042
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 16, 2023
Last updated in NPPESJanuary 16, 2023
Certification dateJanuary 16, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tri State Urologic Services Psc Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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