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MATCARE LLC NPI 1194711820


NPI Information

NPI: 1194711820
Provider Name: MATCARE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 21D0219705

Address:
133 DEFENSE HWY
SUITE 111
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 224-2255
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MATCARE, LLC is an internal medicine in Annapolis, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MATCARE, LLC NPI is 1194711820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

133 DEFENSE HWY
SUITE 111
ANNAPOLIS, MD
ZIP 21401-098
Phone: (410) 224-2255
Fax: (410) 224-0726

The provider's authorized official is Maria E Romero .
The authorized official title is Medical Doctor and has the following contact phone number (410) 224-2255.

The CLIA number assigned to this NPI record is 21D0219705 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 12/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineD0052023MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G5730001OTHERMARYLANDFEP BCBS
2KDNSOTHERMARYLANDBCBS
3G59387MEDICARE PINMARYLAND
4464MMEDICARE PINMARYLAND
5464M695FMEDICARE PINMARYLAND
6956610400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.