Individual provider · Type 1 NPI

Matthew Ethan Johnson, PA-C

Physician Assistant · State College, PA

NPI number 1023398302 Active

Practice location

164 Greenview Dr Ste 345
State College, PA 16803-2106

Call (814) 234-7599 Map

Fax (814) 237-2126

Mailing address

155 Wellness Way
State College, PA 16803-6702

Other practice locations

  • 700 High St, Williamsport, PA 17701-3100 · (703) 585-0221
  • 24 Stevens St, Norwalk, CT 06856 · (203) 852-2189

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Physician Assistant 363A00000X2609 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023398302

Matthew Ethan Johnson, PA-C's National Provider Identifier is 1023398302, issued on Aug 18, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in State College, PA. The record was last updated on Sep 26, 2025.