MATTHEW GORDAN KISER NPI 1003448531

Technician (Personal Care Attendant) in Rootstown, OH

Individual Male Technician Personal Care Attendant

About MATTHEW KISER

Matthew Kiser is a provider established in Rootstown, Ohio and his medical specialization is technician. The NPI number of Matthew Kiser is 1003448531 and was assigned on February 2020. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an individual and his NPI record was last updated February 2020.

NPI

1003448531

Provider Name MATTHEW GORDAN KISER
Provider Location Address3341 STATE ROUTE 44 ROOTSTOWN, OH 44272
Provider Mailing Address3341 STATE ROUTE 44 ROOTSTOWN, OH 44272
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-12-2020
Last Update Date02-12-2020

Primary Taxonomy

Taxonomy Code3747P1801X
ClassificationTechnician
TypeNursing Service Related Providers
SpecializationPersonal Care Attendant
License StateOH
Taxonomy DescriptionAn individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Business Address

MATTHEW GORDAN KISER
3341 STATE ROUTE 44
ROOTSTOWN, OH
ZIP 44272
Phone: (330) 577-6108

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Mailing Address

MATTHEW GORDAN KISER
3341 STATE ROUTE 44
ROOTSTOWN, OH
ZIP 44272
Phone: (330) 577-6108

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0377875MEDICAID (05)OH

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.