Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Matthew David Isherwood I, PA-C

Individual provider Physician Assistant · NPI 1629654413

Mr. Matthew David Isherwood I, PA-C is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2020, 6 years ago. Practices with McLaren Macomb, a 130-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
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

7125 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322-3616
Phone: (248) 865-7444
Fax: (734) 667-2579
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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 5601010434 (MI)

Record details

NPI number1629654413
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice McLaren Macomb — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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