1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Nurse Practitioner
  6. NPI Profile

MRS. MARY KATHLEEN MATZKO NURSE PRACTITIONER
NPI 1417388141
Nurse Practitioner - Adult Health in Columbia, SC

Active since December 05, 2013
14 RICHLAND MEDICAL PARK DR STE 410, COLUMBIA, SC 29203(803) 434-8740(803) 434-8749 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Kathleen Matzko Nurse Practitioner NPPES

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

MRS. MARY KATHLEEN MATZKO NURSE PRACTITIONER (NPI 1417388141) is an individual adult health provider in Columbia, South Carolina, licensed in South Carolina (18599) and active in the NPI registry since December 2013. She maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1417388141
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MARY KATHLEEN MATZKOCredential: NURSE PRACTITIONER
Location Address14 RICHLAND MEDICAL PARK DR STE 410Columbia, SC 29203-6878
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 293-7330
Phone(803) 434-8740
Fax(803) 434-8749
Sole ProprietorYes
Enumeration DateDecember 5, 2013
Last NPPES UpdateSeptember 16, 2021
NPPES CertifiedSeptember 16, 2021
✔ NPI 1417388141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in SC · 18599
14 RICHLAND MEDICAL PARK DR STE 410, Columbia, SC 29203
Open in Google Maps ↗

Secondary Practice Location 1

Location 1317 Saint Francis Dr, Suite 340Greenville, SC 29601-3965 · Phone (864) 546-3699 · Fax (864) 546-3680

Other Providers at the Same Location NPPES 6

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

DR. DARREN EUGENE MULLINS M.D.
Internal Medicine (Medical Oncology)
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-8740
JAMES LITTLES JR. MD
Radiology (Radiation Oncology)
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-8740
DR. MEGAN TRAN PHARMD
Pharmacist
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-1610
PRISMA HEALTH-MIDLANDS
General Acute Care Hospital
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-1028
STEPHEN LEE SHELTON SR. MD
Emergency Medicine
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-3906
HANNAH KEMP LUND NP
Nurse Practitioner (Family)
14 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC 29203
Richland County (803) 434-8740

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 Mary Matzko's NPI number?

The NPI number for Mary Matzko is 1417388141. It was assigned to this individual provider in the NPPES registry on December 5, 2013.

Where is Mary Matzko located?

Mary Matzko practices at 14 Richland Medical Park Dr Ste 410, Columbia, SC 29203. The listed phone number is (803) 434-8740.

What is Mary Matzko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Matzko was last updated on September 16, 2021. 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.