MD MATT LLC
NPI 1780322826
Nurse Practitioner - Family in Linthicum, MD

NPI Status: Active since May 26, 2022

Contact Information

518 S CAMP MEADE RD STE 5
LINTHICUM, MD
ZIP 21090
Phone: (443) 559-4137

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 21D2151446
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-15-2026

About MD MATT LLC

This page provides the complete NPI Profile along with additional information for Md Matt Llc, a provider established in Linthicum, Maryland operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1780322826 assigned on May 2022. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Md Matt Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is William Shaffer (Owner Operator)

NPI
1780322826
Provider Name
MD MATT LLC
Entity Type
Organization
Location Address
518 S CAMP MEADE RD STE 5 LINTHICUM, MD 21090
Location Phone
(443) 559-4137
Mailing Address
625 S CLINTON ST BALTIMORE, MD 21224
Mailing Phone
(443) 559-4137
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2022
Last Update Date
05-26-2022
Code Navigator

A nurse practitioner (NP) like Md Matt Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM SHAFFER

Authorized Official Title
OWNER OPERATOR
Authorized Official Phone
(443) 220-6122

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2151446
Facility Type
Physician Office
Certificate Effective Date
July 16, 2024
Certificate Expiration Date
July 15, 2026
Laboratory Director
TIFFANY KNIGHT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Md Matt Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780322826, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 6 + 2 + 4 + 8 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1780322826.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker
518 S CAMP MEADE RD STE 5
LINTHICUM, MD 21090
Nurse Practitioner (Family)
518 S CAMP MEADE RD STE 5
LINTHICUM HEIGHTS, MD 21090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780322826, enumerated as an "organization" on May 26, 2022.

The provider is located at 518 S CAMP MEADE RD STE 5 LINTHICUM, MD 21090 and the phone number is (443) 559-4137.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.