STEPHENIE MATOSICH D.O. NPI 1548502586

NPI Information

NPI: 1548502586
Provider Name: STEPHENIE MATOSICH, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
624 E FRONT AVE
SPOKANE, WA
ZIP 99202
Phone: (509) 626-9900
Get Directions

Stephenie Matosich, D.O. is a family medicine in Spokane, WA with 11 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Stephenie Matosich, D.O. NPI is 1548502586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

624 E FRONT AVE
SPOKANE, WA
ZIP 99202-139
Phone: (509) 626-9900
Fax: (509) 227-7070

The NPI 1548502586 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2013 and was last updated on 6/17/2021.

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	207Q00000X	Family Medicine		TO60905528	WASHINGTON	Yes
2	207Q00000X	Family Medicine		25337	MISSISSIPPI	No
3	207Q00000X	Family Medicine		39229	SOUTH CAROLINA	No
4	207VX0000X	Obstetrics & Gynecology	Obstetrics	25337	MISSISSIPPI	No

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
1	392293	MEDICAID	SOUTH CAROLINA
2	P01772182	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE

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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