| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW LEE FAIR | 1407577893 | 2023-01-04 |
Matthew Lee Fair is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407577893. Registration indicates Matthew Lee Fair is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Matthew Lee Fair PA-C |
| Practice Office Address | 335 GLESSNER AVE FL MOB2 MANSFIELD, OH US |
| Practice Office Telephone | 5672417700 |
| Practice Office Fax | 5672417719 |
| Mailing Address | PO BOX 7527 DUBLIN, OH 430170727 US |
| Direct Messaging Address [] | [email protected] | Direct OhioHealth Physician Group, Inc. |
| Code | Practice | License No State |
|---|---|---|
| 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | |
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |