PROTO360, LLC
NPI 1871419937
Preventive Medicine - Obesity Medicine in Annapolis, MD

Active since June 24, 2026
419 4TH ST, ANNAPOLIS, MD 21403(410) 823-8243 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preventive Medicine
  • Obesity Medicine

About PROTO360, LLC

This page provides the complete NPI Profile along with additional information for Proto360, Llc, a provider established in Annapolis, Maryland operating as a Preventive Medicine, focusing in obesity medicine . The healthcare provider is registered in the NPI registry with number 1871419937 assigned on June 2026. The practitioner's primary taxonomy code is 2083B0002X. The provider is registered as an organization and their NPI record was last updated June 2026. Proto360, 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 Dr. Katrina Mattingly Md (Founding Partner)

NPI
1871419937 Verify this NPI
Provider Name
PROTO360, LLC
Entity Type
Organization
Location Address
419 4TH ST ANNAPOLIS, MD 21403
Location Phone
(410) 823-8243
Mailing Address
419 4TH ST ANNAPOLIS, MD 21403
Mailing Phone
(410) 823-8243
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-24-2026
Last Update Date
06-24-2026
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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

Preventive Medicine Obesity Medicine

Taxonomy Code
2083B0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

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

DR. KATRINA MATTINGLY MD

Authorized Official Title
FOUNDING PARTNER
Authorized Official Phone
(410) 823-8243

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Preventive Medicine (Obesity Medicine)
419 4TH ST
ANNAPOLIS, MD 21403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871419937, enumerated as an "organization" on June 24, 2026.

The provider is located at 419 4TH ST ANNAPOLIS, MD 21403 and the phone number is (410) 823-8243.

Preventive Medicine with taxonomy code 2083B0002X and a focus in Obesity Medicine.