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MICHAEL J MATTINGLY D.O. PC NPI 1467527192


NPI Information

NPI: 1467527192
Provider Name: MICHAEL J MATTINGLY, D.O. PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1000 HARRINGTON ST
MOUNT CLEMENS, MI
ZIP 48043
Phone: (586) 493-8101
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MICHAEL J MATTINGLY, D.O. PC is an emergency medicine in Mount Clemens, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MICHAEL J MATTINGLY, D.O. PC NPI is 1467527192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 HARRINGTON ST
MOUNT CLEMENS, MI
ZIP 48043-920
Phone: (586) 493-8101

The provider's authorized official is Michael John Mattingly .
The authorized official title is Owner and has the following contact phone number (248) 676-8533.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/28/2008.


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
1207P00000XEmergency MedicineYes

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 Other Provider Identifier Issuer
10155012295OTHERBCBS
20E02243OTHERBCN ADVANTAGE
3DB2651MEDICARE PIN
40N81380MEDICARE PIN

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: 5/5/2024

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