Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0103301012 | VA |
Y | 222Z00000X | Podiatrist | 0103301012 | VA |
N | 2081S0010X | Sports Medicine | 0103301012 | VA |
N | 213ES0000X | Sports Medicine | 0103301012 | VA |
N | 213ES0103X | Foot & Ankle Surgery | 0103301012 | VA |
NPI | 1164692877 |
---|---|
Provider Name | Dr. Matthew Alan Hopson |
First Address | Newport News, VA 23606 |
Second Address | Williamsburg, VA 23188 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 14/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0908440001 | DMERC (01) | VA |
DP3152 | RAILROAD MEDICARE (01) | VA |