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Deactivated NPI 1407059744 Deactivated / Inactive NPI Male Practitioner

Wayne J Dimatteo , PA-C

Physician Assistant • La Crosse, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wayne Dimatteo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2007
NPI Deactivation Date September 20, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Wayne Dimatteo, PA-C was a registered Physician Assistant practicing in La Crosse, WI. Throughout an active medical career spanning 15 years, Wayne Dimatteo provided care at the practice location at 328 FRONT ST S until profile deactivation on 2022-09-20.

Practice Location & Contact Primary Location

Practice Address

328 Front St S
Logisitcs Health, Inc.

La Crosse, WI 546014023

Telephone 6177322981
Fax 6177321027
Associated Practice Facility / Clinic
🏢 Logistics Health Inc. Facility NPI 1447534060

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in La Crosse, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
58 Specialists

Practicing in La Crosse, WI (3517 Statewide)

Telehealth Adoption Rate
15.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 823

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Abigayle Hutson , AGNP-C

Nurse Practitioner

NPI 1033963277

Adult-Gerontology Nurse Practitioner (Certified)

NPI 1376517961

Physician Assistant (Certified), MPAS

Dr. Patti King , DO

Family Medicine

NPI 1396756789

Doctor of Osteopathic Medicine (D.O.)

Dr. Kevin Dillman , DDS

Dentist - General Practice

NPI 1407476617

Doctor of Dental Surgery

Deborah Herczog , MSN, ANP

Nurse Practitioner - Adult Health

NPI 1467593079

Master of Science in Nursing, Adult Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 20, 2022

Record deactivated on September 20, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 328 FRONT ST S, LOGISITCS HEALTH, INC., LA CROSSE, WI 546014023 (Tel: 6177322981)

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Updated Business Mailing Address July 08, 2007

Registered at 93 FORT AVE, APT. 2, ROXBURY, MA 021191463 (Tel: 6175710462)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WAYNE DIMATTEO, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #823 in MA)

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Initial NPI Registration & Enumeration June 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407059744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2007
Last Update: July 08, 2007
Deactivation Date: September 20, 2022

Mailing Address

93 Fort Ave, Apt. 2

Roxbury, MA 021191463

Phone: 6175710462

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.