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RODRIGO A MATA JR. M.D.
NPI 1104127372
Family Medicine in Kenosha, WI

Active since November 04, 2010
6123 GREEN BAY RD, SUITE 120, KENOSHA, WI 53142(262) 652-6995(262) 652-1370 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rodrigo A Mata Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODRIGO A MATA JR. M.D. (NPI 1104127372) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (22023-20) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1104127372
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRODRIGO A MATA JR.Credential: M.D.
Location Address6123 GREEN BAY RD, SUITE 120Kenosha, WI 53142-2927
Mailing Address6123 Green Bay Rd, Suite 120Kenosha, WI 53142-2927 · (262) 652-6995 · Fax (262) 652-1370
Phone(262) 652-6995
Fax(262) 652-1370
Sole ProprietorYes
Enumeration DateNovember 4, 2010
✔ NPI 1104127372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 22023-20
Definition
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.
6123 GREEN BAY RD, Kenosha, WI 53142
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RODRIGO BUENCAMINO MATA III M.D.
Internal Medicine
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Kenosha County (262) 652-2710
MRS. TAREY ANN WENNINGER P.T.,
Physical Therapist
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Kenosha County (262) 653-9208
GREAT LAKES FAMILY MEDICAL CENTER INC
Clinic/Center
6123 GREEN BAY RD, SUITE 120
KENOSHA, WI 53142
Kenosha County (262) 764-4390
GREAT LAKES FOOT & ANKLE CENTERS INC
Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 652-3668
DR THOMAS J SOLECKI JR SC
Chiropractor
6123 GREEN BAY RD, SUITE 140
KENOSHA, WI 53142
Kenosha County (262) 653-9208
DR. KALPANA RAO PHD
Psychologist (Clinical)
6123 GREEN BAY RD
KENOSHA, WI 53142
Kenosha County (262) 948-1000
TODD'S COMPANIONPLUS, INC.
Home Health
6123 GREEN BAY RD, SUITE 230
KENOSHA, WI 53142
Kenosha County (262) 842-0405
GREAT LAKES SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
6123 GREEN BAY RD, SUITE 100
KENOSHA, WI 53142
Kenosha County (262) 657-3668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodrigo Mata's NPI number?

The NPI number for Rodrigo Mata is 1104127372. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Rodrigo Mata located?

Rodrigo Mata practices at 6123 Green Bay Rd Suite 120, Kenosha, WI 53142. The listed phone number is (262) 652-6995.

What is Rodrigo Mata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Rodrigo Mata was last updated on November 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.