MARK STANLEY MATTHIAS M.D. NPI 1932273349

NPI Information

  • NPI: 1932273349
  • Provider Name: MARK STANLEY MATTHIAS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1900 CENTRACARE CIRCLE
    SUITE 2400
    ST. CLOUD, MN
    ZIP 56303
  • Phone: (320) 229-5171

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NPI Details

Mark Stanley Matthias, M.D. is a family medicine in St. Cloud, MN. 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. Mark Stanley Matthias, M.D. NPI is 1932273349. 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:

1900 CENTRACARE CIRCLE
SUITE 2400
ST. CLOUD, MN
ZIP 56303-000
Phone: (320) 229-5171
Fax: (320) 229-5171

The enumeration date for this NPI number is 11/17/2006 and was last updated on 4/7/2015.

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 Medicine33585MINNESOTAYes

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
1E49051MEDICARE UPINMINNESOTA
2413202500MEDICAIDMINNESOTA
3080015505MEDICARE PINMINNESOTA
4089003977MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
5P00631764OTHERMINNESOTARR 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: 3/30/2025

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