DR. MICHAEL E MATLAK MD NPI 1134200926

NPI Information

NPI: 1134200926
Provider Name: DR. MICHAEL E MATLAK, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
100 N MARIO CAPECCHI DR
SUITE 2600
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 662-2950
Get Directions

DR. Michael E Matlak, MD is a pediatric surgery surgery in Salt Lake City, UT. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. DR. Michael E Matlak, MD NPI is 1134200926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N MARIO CAPECCHI DR
SUITE 2600
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 662-2950
Fax: (801) 662-2980

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/2/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		1605921205	UTAH	No
2	2086S0120X	Surgery	Pediatric Surgery	1605921205	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C63464	MEDICARE UPIN	UTAH
2	000001419	MEDICARE ID-TYPE UNSPECIFIED
3	05572	MEDICAID	UTAH

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: 4/28/2024

NPI Synchronization or Removal

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