MD MATT LLC (NPI# 1619583200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619583200 |
| Entity Type | Organization |
| Organization Name | MD MATT LLC |
| Practice Address |
309 E Patrick St Frederick MD 21701-6792 |
| Mailing Address |
225 S Castle St Baltimore MD 21231-2602 |
| Practice Telephone | 2402921088 |
| Mailing Telephone | 4432206122 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | WILLIAM SHAFFER (OWNER) |
| Authorized Official Telephone | 4432206122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
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 |
| 1578182614 | Md Matt LLC | Nurse Practitioner | 208 Transmission Ct, Linthicum Heights, MD 21090-2708 | 2020-04-09 |
| 1508493180 | Md Matt LLC | Nurse Practitioner | 12 Crain Hwy N, Glen Burnie, MD 21061-3565 | 2020-03-24 |
| 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 |
309 E PATRICK ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-6792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831244136 | Catoctin Counseling Center | Counselor | 309 E Patrick St, Frederick, MD 21701-5614 | 2007-01-24 |
| 1699124115 | Bradford Wye | Social Worker | 309 E Patrick St, Frederick, MD 21701-5614 | 2016-06-06 |
| 1013338623 | David George Thomassen | Counselor | 309 E Patrick St, Frederick, MD 21701-5614 | 2013-12-27 |
| 1760822944 | Maureen Mulhern | Counselor | 309 E Patrick St, Frederick, MD 21701-5614 | 2013-07-02 |
| 1003166679 | John Paul Mulhern | Social Worker | 309 E Patrick St, Frederick, MD 21701-5614 | 2012-09-11 |
| 1831320530 | Colleen Felix | Counselor | 309 E Patrick St, Frederick, MD 21701-5614 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877279 | Katherine O'bryan | Nurse Practitioner | 176 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4529 | 2020-06-27 |
| 1902290935 | Christianna Joyce Mayberry | Nurse Practitioner | 3913 Shawfield Ln, Frederick, MD 21704-7906 | 2015-03-27 |
| 1992097265 | Amy Fox | Nurse Practitioner | 6695 Stoneridge Ct., Frederick, MD 21702 | 2011-05-05 |
| 1508162306 | Shirley Coffie | Nurse Practitioner | 1050 Key Parkway, Suite 103, Frederick, MD 21702 | 2011-01-27 |
| 1366601361 | Melissa Ramey Bolden | Nurse Practitioner | 8927 Fingerboard Rd, Suite E, Frederick, MD 21704-8164 | 2008-06-04 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1639161367 | Kathryn A. Fletcher | Nurse Practitioner | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2005-08-18 |
| 1508428103 | Constance Maria Derosa | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702-4920 | 2019-07-03 |
| 1700332616 | Callie Lesher | Nurse Practitioner | 347 Ballenger Center Dr, Frederick, MD 21703-7095 | 2016-08-31 |
| 1194119818 | Corey Amber Ward | Nurse Practitioner | 196 Thomas Johnson Dr, Suite 120, Frederick, MD 21702-4397 | 2015-03-19 |
| Find all providers in FREDERICK | ||||
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| 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.