TED K MATUSZEWSKI MD PROF CORP NPI 1558676106

NPI Information

  • NPI: 1558676106
  • Provider Name: TED K MATUSZEWSKI MD PROF CORP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4095 N CARSON ST
    CARSON CITY, NV
    ZIP 89706
  • Phone: (775) 885-9911

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NPI Details

TED K MATUSZEWSKI MD PROF CORP is a family medicine in Carson City, NV. 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. TED K MATUSZEWSKI MD PROF CORP NPI is 1558676106. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4095 N CARSON ST
CARSON CITY, NV
ZIP 89706-936
Phone: (775) 885-9911

The provider's authorized official is Ted K Matuszewski .
The authorized official title is Owner and has the following contact phone number (775) 885-9911.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 2/16/2011.

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
1207Q00000XFamily Medicine6674NEVADAYes

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
1VMD6674MEDICARE PINNEVADA
2E70248MEDICARE UPINNEVADA

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: 11/21/2025

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