MEDICAL ASSOCIATES AT WILLOW PARK
NPI 1821460239
Family Medicine in Aledo, TX

Active since October 25, 2015CLIA 45D1103809 · Waiver
260 WILLOW BEND DR, ALEDO, TX 76008(817) 441-9252(817) 441-9282 Get Directions Write a Review

NPPES record last updated: October 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medical Associates At Willow Park NPPES

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

MEDICAL ASSOCIATES AT WILLOW PARK (NPI 1821460239) is a healthcare organization registered as a family medicine in Aledo, Texas and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Matthew Gorman Stine, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1821460239
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMATTHEW G. STINE, D.O., P.A.
Location Address260 WILLOW BEND DRAledo, TX 76008-1188
Mailing Address260 Willow Bend DrAledo, TX 76008-1188 · (817) 441-9252 · Fax (817) 441-9282
Fax(817) 441-9282
Organization SubpartYes
Authorized OfficialMatthew Gorman StineOwner/physician · (817) 441-9252
Enumeration DateOctober 25, 2015
NPI 1821460239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M9034
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

260 WILLOW BEND DR, Aledo, TX 76008

Other Names 1

Doing Business AsMedical Associates At Willow Park

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1103809

Medical Associates At Willow Park · Aledo, TX
Active · expires Aug 17, 2027
CLIA Number45D1103809
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorMatthew Stine
Laboratory Phone(817) 441-9252
Laboratory LocationMedical Associates At Willow Park260 Willow Bend, Aledo, TX 76008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
260 WILLOW BEND DR
ALEDO, TX 76008
Nurse Practitioner (Family)
260 WILLOW BEND DR
WILLOW PARK, TX 76008
Family Medicine
260 WILLOW BEND DR
ALEDO, TX 76008

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 Matthew G. Stine, D.O., P.A.'s NPI number?

The NPI number for Matthew G. Stine, D.O., P.A. is 1821460239. It was assigned to this organization in the NPPES registry on October 25, 2015. The provider is doing business as Medical Associates At Willow Park.

Where is Matthew G. Stine, D.O., P.A. located?

Matthew G. Stine, D.O., P.A. is located at 260 Willow Bend Dr, Aledo, TX 76008. The listed phone number is (817) 441-9252.

What is Matthew G. Stine, D.O., P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Matthew G. Stine, D.O., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1103809) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Matthew G. Stine, D.O., P.A. was last updated on October 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.