MATCLINIC PHYSICIANS PRACTICE GROUP LLC
NPI 1356801534
Internal Medicine - Addiction Medicine in Annapolis, MD

Q: What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since March 22, 2019

107 RIDGELY AVE STE 12, ANNAPOLIS, MD 21401(410) 220-0780(410) 862-0150 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2022, Jan 14, 2021, Aug 7, 2020 and 4 more (7 updates tracked since 2019).

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About Matclinic Physicians Practice Group Llc NPPES

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

MATCLINIC PHYSICIANS PRACTICE GROUP LLC (NPI 1356801534) is a healthcare organization registered as an addiction medicine in Annapolis, Maryland and active in the NPI registry since March 2019. The organization lists Dan Reck, Manager, as its authorized official.

NPPES Registry Identity

NPI1356801534

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMATCLINIC PHYSICIANS PRACTICE GROUP LLC

Location Address107 RIDGELY AVE STE 12Annapolis, MD 21401-1417

Mailing AddressPo Box 9068Baltimore, MD 21222-0768 · (410) 220-0720 · Fax (410) 862-0150

Phone(410) 220-0780

Fax(410) 862-0150

Organization SubpartNo

Authorized OfficialDan ReckManager · (410) 220-0780

Enumeration DateMarch 22, 2019

Last NPPES UpdateMay 11, 20227 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1356801534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

107 RIDGELY AVE STE 12, Annapolis, MD 21401

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Other Identifiers 1

Medicaid135675502MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

Counselor (Addiction (Substance Use Disorder))

107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401

Anne Arundel County (410) 220-0780

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401

Anne Arundel County (410) 220-0780

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401

Anne Arundel County (410) 220-0780

MATCLINIC PHYSICIANS PRACTICE GROUP LLC

Community/Behavioral Health

107 RIDGELY AVE STE 12
ANNAPOLIS, MD 21401

Anne Arundel County (410) 220-0780

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 Matclinic Physicians Practice Group LLC's NPI number?

The NPI number for Matclinic Physicians Practice Group LLC is 1356801534. It was assigned to this organization in the NPPES registry on March 22, 2019.

Where is Matclinic Physicians Practice Group LLC located?

Matclinic Physicians Practice Group LLC is located at 107 Ridgely Ave Ste 12, Annapolis, MD 21401. The listed phone number is (410) 220-0780.

What is Matclinic Physicians Practice Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Matclinic Physicians Practice Group LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.