MD MATT LLC
NPI 1508493180
Nurse Practitioner - Family in Glen Burnie, MD

Q: What is MD Matt LLC's NPI number?

The NPI number for MD Matt LLC is 1508493180. It was assigned to this organization in the NPPES registry on March 24, 2020.

Q: What is MD Matt LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for MD Matt LLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 24, 2020

12 CRAIN HWY N, GLEN BURNIE, MD 21061(410) 575-1255 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Md Matt Llc NPPES

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

MD MATT LLC (NPI 1508493180) is a healthcare organization registered as a family in Glen Burnie, Maryland and active in the NPI registry since March 2020. The organization lists William Shaffer, Director, as its authorized official.

NPPES Registry Identity

NPI1508493180

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMD MATT LLC

Location Address12 CRAIN HWY NGlen Burnie, MD 21061-3565

Mailing Address225 S Castle StBaltimore, MD 21231-2602 · (443) 220-6122

Phone(410) 575-1255

Organization SubpartNo

Authorized OfficialWilliam ShafferDirector · (443) 559-4137

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1508493180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

12 CRAIN HWY N, Glen Burnie, MD 21061

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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

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 MD Matt LLC's NPI number?

The NPI number for MD Matt LLC is 1508493180. It was assigned to this organization in the NPPES registry on March 24, 2020.

Where is MD Matt LLC located?

MD Matt LLC is located at 12 Crain Hwy N, Glen Burnie, MD 21061. The listed phone number is (410) 575-1255.

What is MD Matt LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for MD Matt LLC was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.