DR. MATTHEW MICHAEL MATUSIAK


Address: 2602 J St, Omaha, NE 68107-1643
Phone: 4023152779

DR. MATTHEW MICHAEL MATUSIAK (NPI# 1487949921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487949921
Entity Type Individual
Full Name DR. MATTHEW MICHAEL MATUSIAK
Credential DHSC, MT(ASCP)
Practice Address 2602 J St
Omaha
NE 68107-1643
Mailing Address 1067 Rustic Ridge Dr
Mountain Home
AR 72653-5044
Practice Telephone 4023152779
Mailing Telephone 3183501977
Enumeration Date 2011-06-13
Last Update Date 2020-08-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247ZC0005X Pathology
Specialization: Clinical Laboratory Director, Non-physician
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 2602 J ST
City OMAHA
State NE
Zip Code 68107-1643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700871381 Mary Margaret Murphy Nurse Practitioner 2602 J St, Omaha, NE 68107-1643 2005-09-20
1033739537 Rachael M Bogacz Counselor 2602 J St, Omaha, NE 68107-1643 2020-04-24
1821632266 Alison Jordan Dietitian, Registered 2602 J St, Omaha, NE 68107-1643 2019-10-29
1669964003 Tayler Danyelle Fuller Dentist 2602 J St, Omaha, NE 68107-1643 2018-06-01
1205335502 Lorri Lynne Mckean Dental Hygienist 2602 J St, Omaha, NE 68107-1643 2018-02-02
1326567660 Maria Douthett Nurse Practitioner 2602 J St, Omaha, NE 68107-1643 2017-09-19
1194244939 Ponca Tribe of Nebraska Clinic/Center 2602 J St, Omaha, NE 68107-1643 2017-09-13
1851772776 Tracy Lautt Dental Hygienist 2602 J St, Omaha, NE 68107-1643 2015-06-16
1326441098 Whitney Anne Arnold Registered Nurse 2602 J St, Omaha, NE 68107-1643 2014-10-08
1679974455 Nicole Leigh Rezac Dietitian, Registered 2602 J St, Omaha, NE 68107-1643 2014-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326404773 Halee Austin Emerson Speech-Language Pathologist 5101 S 17th Street, Omaha, NE 68107 2016-01-14
1942513494 Oneworld Community Health Centers, Inc. Clinic/Center 4215 S 20th St, Omaha, NE 68107 2010-07-26
1871740753 Dawson E Dvorak Counselor 5217 S. 28th Street, Stephen Center Hero Program, Omaha, NE 68107 2008-08-22
1750547485 Concentra Health Services, Inc. Clinic/Center 2900 F Street, Omaha, NE 68107 2008-08-01
1164550836 Joyce A Sargent Pharmacist 3548 Q Street, Omaha, NE 68107 2007-03-02
1326192758 Elizabeth H Buschkemper Nurse Practitioner 4920 S. 30th St. Suite 103, Oneworld Community Health Center, Omaha, NE 68107 2007-01-23
1578647772 Heartland Emergicare Emergency Medicine Heartland Emergicare, 2429 M Str, Omaha, NE 68107 2006-10-24
1225125057 Physicians Clinic, Inc. Durable Medical Equipment & Medical Supplies 3353 L Street, Omaha, NE 68107 2006-10-05
1033135595 Heartland Emergicare, P.C. Physician Assistant 2429 M Street, Omaha, NE 68107 2006-07-15
1487695870 Patricia Rose Farrell Social Worker 5511 S 31st St, Omaha, NE 68107 2006-06-09
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Taxonomy Information

Taxonomy Code 247ZC0005X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Pathology
Specialization Clinical Laboratory Director, Non-physician

Taxonomy Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Notes: Source: National Uniform Claim Committee [1/1/2007: new]

Competitor

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City OMAHA
Zip Code 68107

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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