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MD MATT LLC
NPI 1619583200
Nurse Practitioner - Adult Health in Frederick, MD

Active since September 18, 2020
309 E PATRICK ST, FREDERICK, MD 21701(240) 292-1088 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Sep 18, 2020 (2 updates tracked since 2020).

About Md Matt Llc NPPES

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

MD MATT LLC (NPI 1619583200) is a healthcare organization registered as an adult health in Frederick, Maryland and active in the NPI registry since September 2020. The organization lists William Shaffer, Owner, as its authorized official.

NPPES Registry Identity

NPI1619583200
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameMD MATT LLC
Location Address309 E PATRICK STFrederick, MD 21701-6792
Mailing Address10220 S Dolfield Rd Ste 106Owings Mills, MD 21117-3660 · (443) 559-4137
Phone(240) 292-1088
Organization SubpartNo
Authorized OfficialWilliam ShafferOwner · (443) 220-6122
Enumeration DateSeptember 18, 2020
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1619583200 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
309 E PATRICK ST, Frederick, MD 21701
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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

Other Providers at the Same Location NPPES 16

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

JOHN PAUL MULHERN LCSW-C
Social Worker (Clinical)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 631-1304
DAVID GEORGE THOMASSEN MS, LGPC
Counselor (Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (240) 578-2322
MEGAN BRITTANY ARBOGAST MSN, ACNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (240) 310-9967
ROBIN ISAACSON
Counselor (Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 631-1304
JENINNE HALE MS
Counselor (Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 631-1304
AUDRA WORTHINGTON CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (240) 310-9961
TAYLOR MARIE HAHN LGPC
Counselor (Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 631-1304
FRANCINE BASCIANO CRNP, PMH-NP
Nurse Practitioner (Psychiatric/Mental Health)
309 E PATRICK ST
FREDERICK, MD 21701
Frederick County (301) 631-1304

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 1619583200. It was assigned to this organization in the NPPES registry on September 18, 2020.

Where is MD Matt LLC located?

MD Matt LLC is located at 309 E Patrick St, Frederick, MD 21701. The listed phone number is (240) 292-1088.

What is MD Matt LLC'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 MD Matt LLC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.