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MATHEW MATA
NPI 1629783584
Specialist/Technologist, Other in Plymouth, MI

Active since January 16, 2023
45211 HELM ST STE 110, PLYMOUTH, MI 48170(734) 525-9712 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mathew Mata NPPES

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

MATHEW MATA (NPI 1629783584) is an individual specialist/technologist, other provider in Plymouth, Michigan and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1629783584
Entity TypeIndividualMale
Primary Taxonomy246Z00000X
Provider Legal NameMATHEW MATA
Location Address45211 HELM ST STE 110Plymouth, MI 48170-6023
Mailing Address45211 Helm St Ste 110Plymouth, MI 48170-6023 · (734) 525-9712
Phone(734) 525-9712
Sole ProprietorNo
Enumeration DateJanuary 16, 2023
NPPES CertifiedJanuary 16, 2023
✔ NPI 1629783584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
45211 HELM ST STE 110, Plymouth, MI 48170
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Other Providers at the Same Location NPPES 20

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

LORNE WANDELL
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
KYLEE OVERTON
Specialist/Technologist, Other
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
RACHEL HAPP
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
ERIC CHAPMAN
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
COLE OLSON
Specialist/Technologist, Other
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
PRAVEEN MUDUMBA
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
BRENT TRUDELL
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (173) 452-5971
CHARLES VAN PHAM
Perfusionist
45211 HELM ST STE 110
PLYMOUTH, MI 48170
Wayne County (173) 452-5971

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 Mathew Mata's NPI number?

The NPI number for Mathew Mata is 1629783584. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Mathew Mata located?

Mathew Mata practices at 45211 Helm St Ste 110, Plymouth, MI 48170. The listed phone number is (734) 525-9712.

What is Mathew Mata's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Mathew Mata was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.