MD MATT LLC (NPI# 1861033441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861033441 |
| Entity Type | Organization |
| Organization Name | MD MATT LLC |
| Practice Address |
9533 Belair Rd Nottingham MD 21236-1563 |
| Mailing Address |
225 S Castle St Baltimore MD 21231-2602 |
| Practice Telephone | 4105751785 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | WILLIAM SHAFFER (CARE COORDINATOR) |
| 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 |
| 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 |
| 1619583200 | Md Matt LLC | Nurse Practitioner | 309 E Patrick St, Frederick, MD 21701-6792 | 2020-09-18 |
| 1669941175 | Md Matt LLC | Social Worker | 110 Painters Mill Rd, Owings Mills, MD 21117-4920 | 2018-11-14 |
| Street Address |
9533 BELAIR RD |
| City | NOTTINGHAM |
| State | MD |
| Zip Code | 21236-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1215575519 | Bh Brightview Perry Hall Opco, LLC | Alzheimer Center (Dementia Center) | 9657 Belair Road, Nottingham, MD 21236 | 2019-12-17 |
| 1750929493 | Bh Brightview White Marsh Opco, LLC | Alzheimer Center (Dementia Center) | 8100 Rossville Blvd., Baltimore, MD 21236 | 2019-12-12 |
| 1083257646 | Matthew Peter Halstad | Behavioral Analyst | 8090 Sandpiper Circle, Nottingham, MD 21236 | 2019-10-25 |
| 1609331602 | Tunisia Buise | Social Worker | 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 | 2019-02-04 |
| 1730673047 | Golden Jemz Adult Medical Day | Clinic/Center | 5020 Cambell Blvd, Nottingham, MD 21236 | 2018-06-20 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1619478922 | Weis Markets, Inc. | Pharmacy | 7927 Belair Rd Ste S, Nottingham, MD 21236 | 2018-02-22 |
| 1285133918 | Joan Rosa Keller | Behavior Technician | 3501 Taylor Ave., Baltimore, MD 21236 | 2018-02-08 |
| 1205341146 | Ebony Watkins | Nurse Practitioner | 8940 Kilkenny Circle, Nottingham, MD 21236 | 2017-12-13 |
| Find all providers in zip 21236 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583828 | Beth Anne Pruitt | Nurse Practitioner | 4120 Slater Ave, Nottingham, MD 21236-2718 | 2019-08-11 |
| 1174188445 | Sushma Khatri | Nurse Practitioner | 4436 Cole Farm Rd, Nottingham, MD 21236-2961 | 2019-05-02 |
| 1417987793 | Kelly R Edmondson | Nurse Practitioner | 5230 Campbell Blvd, Nottingham, MD 21236-4983 | 2006-07-03 |
| 1184231888 | Hanei Health Solutions, LLC | Nurse Practitioner | 9712 Belair Rd Ste 202, Nottingham, MD 21236-1112 | 2020-09-26 |
| 1487152468 | Allison Higdon | Nurse Practitioner | 9524 Belair Rd, Nottingham, MD 21236-1544 | 2018-01-25 |
| 1043721343 | Matilda Korkor Decker | Nurse Practitioner | 8114 Sandpiper Cir, Nottingham, MD 21236-4934 | 2017-10-13 |
| 1003363854 | Kathryn Kloss | Nurse Practitioner | 4924 Campbell Blvd, #200, Nottingham, MD 21236-5908 | 2016-09-08 |
| 1538545751 | Halie Laura Amoroso | Nurse Practitioner | 8605 Ridgelys Choice Dr, Nottingham, MD 21236-2953 | 2015-08-11 |
| 1689983090 | Kathryn Jean Malenfant | Nurse Practitioner | 5230 Campbell Blvd, Nottingham, MD 21236-4983 | 2010-10-03 |
| 1467780593 | Chaya Rachel Levine | Nurse Practitioner | 8100 Sandpiper Cir, Suite 214, Nottingham, MD 21236-4991 | 2009-12-01 |
| Find all providers in NOTTINGHAM | ||||
| City | NOTTINGHAM |
| Zip Code | 21236 |
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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.