MD MATT LLC (NPI# 1578182614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578182614 |
| Entity Type | Organization |
| Organization Name | MD MATT LLC |
| Practice Address |
208 Transmission Ct Linthicum Heights MD 21090-2708 |
| Mailing Address |
225 S Castle St Baltimore MD 21231-2602 |
| Practice Telephone | 4105751255 |
| Mailing Telephone | 4432206122 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | WILLIAM SHAFFER (DIRECTOR) |
| Authorized Official Telephone | 4435594137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011288 | Md Matt LLC | Nurse Practitioner | 10220 S Dolfield Rd Ste 106, Owings Mills, MD 21117-3660 | 2020-07-23 |
| 1508493180 | Md Matt LLC | Nurse Practitioner | 12 Crain Hwy N, Glen Burnie, MD 21061-3565 | 2020-03-24 |
| 1619583200 | Md Matt LLC | Nurse Practitioner | 309 E Patrick St, Frederick, MD 21701-6792 | 2020-09-18 |
| 1861033441 | Md Matt LLC | Nurse Practitioner | 9533 Belair Rd, Nottingham, MD 21236-1563 | 2019-10-04 |
| 1669941175 | Md Matt LLC | Social Worker | 110 Painters Mill Rd, Owings Mills, MD 21117-4920 | 2018-11-14 |
| Street Address |
208 TRANSMISSION CT |
| City | LINTHICUM HEIGHTS |
| State | MD |
| Zip Code | 21090-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365988 | Brian Craig Fikes | Registered Nurse | 901 Elkridge Landing Rd Ste 100, Linthicum Heights, MD 21090 | 2012-08-10 |
| 1922354075 | Dimension Health Care | General Acute Care Hospital | 603 Fairmeade Ct, Linthicum, MD 21090 | 2012-07-26 |
| 1720302052 | Freestate Transportation, LLC | Ambulance | 832 Oregon Ave, Suites K-l, Linthicum, MD 21090 | 2010-03-15 |
| 1225170806 | George Edward La Rocco | Internal Medicine | 7323 Aviation Blvd Ms 1178, Linthicum, MD 21090 | 2007-02-12 |
| 1700810629 | Ambumed Inc. | Clinical Medical Laboratory | 803 Barkwood Court, Ste A, Linthicum Heights, MD 21090 | 2006-07-10 |
| 1679521975 | Gloria Suja Domingo | Pediatrics | 809 N Hammonds Ferry Rd Ste C, Linthicum, MD 21090 | 2006-05-05 |
| 1063481703 | Anne Arundel Dermatology, P.a. | Specialist | 1306 Concourse Dr Ste 201, Linthicum, MD 21090 | 2006-03-15 |
| 1174878441 | Rebecca Lynn Sebastian | Physical Therapist | 609 Global Way, Linthicum, MD 21090 | 2012-07-23 |
| 1538179130 | Ettaly Franke Jobes | Pediatrics | 605 Global Way, Suite 119 Arundel Pediatrics P.a., Linthicum, MD 21090 | 2006-08-08 |
| 1164771762 | Maryland Specialty Surgery Center, LLC | Clinic/Center | 509 Progress Drive, Suite 100, Linthicum, MD 21090-0000 | 2012-08-29 |
| Find all providers in zip 21090 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508297508 | Cathy Diana Hardwick | Nurse Practitioner | 705 Digital Dr, Suite G, Linthicum Heights, MD 21090-2267 | 2013-12-02 |
| 1821385147 | Xinfang Feng | Nurse Practitioner | 705 Digital Dr, Suite G, Linthicum Heights, MD 21090-2267 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | LINTHICUM HEIGHTS |
| Zip Code | 21090 |
Please comment or provide details below to improve the information on MD MATT LLC.
| 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.