Individual
JOHN QA MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4075
(540) 932-5199
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4629
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0102201424
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005886945
—
VA
01
—
210242
SOUTHERN HEALTH
VA
01
—
2202367
FIRST HEALTH
VA
01
—
466150
ANTHEM
VA
01
—
5748409
CIGNA
VA
01
—
5886945
VA PREMIER
VA
01
—
64916
OPTIMA
VA
Enumeration date
02/09/2006
Last updated
09/08/2021
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