MATCLINIC PHYSICIANS PRACTICE GROUP LLC – NPI #1104375294
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
MATCLINIC PHYSICIANS PRACTICE GROUP LLC is a provider located in DUNDALK, MD. NPPES has assigned the NPI number 1104375294 to MATCLINIC PHYSICIANS PRACTICE GROUP LLC on September 29, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RA0401X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Addiction Medicine Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 4 years ago on May 11, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATCLINIC PHYSICIANS PRACTICE GROUP LLC below.
NPI Profile for
MATCLINIC PHYSICIANS PRACTICE GROUP LLC
(more than 9 years ago)
DUNDALK, MD 21222 Phone: (410) 220-0780 Fax: (410) 862-0150
BALTIMORE, MD 21222-0768 Phone: (410) 220-0720 Fax: (410) 862-0150
MANAGER
Phone: (410) 220-0780
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MATCLINIC PHYSICIANS PRACTICE GROUP LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | MD | 357117300 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RA0401X - Internal Medicine / Addiction Medicine (Primary) |
||
| 363LP0808X - Nurse Practitioner / Psychiatric/Mental Health |
||
| 2084P0800X - Psychiatry & Neurology / Psychiatry |
||
| 2084A0401X - Psychiatry & Neurology / Addiction Medicine |
||
| 101YP2500X - Counselor / Professional |
||
| 101YM0800X - Counselor / Mental Health |
||
| 101YA0400X - Counselor / Addiction (Substance Use Disorder) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.