Provider Demographics
NPI:1134320310
Name:MCNATT, JOSHUA MATTHEW (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:MATTHEW
Last Name:MCNATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1587 BOETTLER RD
Mailing Address - Street 2:#104
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7823
Mailing Address - Country:US
Mailing Address - Phone:330-896-3447
Mailing Address - Fax:330-896-9919
Practice Address - Street 1:2130 NORTHWEST PKWY SE STE G
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-9307
Practice Address - Country:US
Practice Address - Phone:678-396-4597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-089401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1467490961OtherGROUP NPI #
OH1841239274OtherMEDICARE/MEDICAID NPI GROUP #
OH2551671OtherMEDICAID GROUP #
OH2768527Medicaid
OH9338635OtherMEDICARE GROUP #
OH1467490961OtherGROUP NPI #
OH1232120011Medicare NSC