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MD MATT LLC
NPI 1962011288
Nurse Practitioner - Family in Owings Mills, MD

Active since July 23, 2020
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117(410) 575-1255 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2023, Jul 23, 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 1962011288) is a healthcare organization registered as a family in Owings Mills, Maryland and active in the NPI registry since July 2020. The organization maintains 4 additional practice locations and lists William Shaffer, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1962011288
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMD MATT LLC
Location Address10220 S DOLFIELD RD STE 106Owings Mills, MD 21117-3660
Mailing Address625 S Clinton StBaltimore, MD 21224-4009 · (443) 559-4137
Phone(410) 575-1255
Organization SubpartNo
Authorized OfficialWilliam ShafferDirector/owner · (443) 559-4137
Enumeration DateJuly 23, 2020
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1962011288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse PractitionerTaxonomy 363L00000X
10220 S DOLFIELD RD STE 106, Owings Mills, MD 21117
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Secondary Practice Locations 4

Location 1518 S Camp Meade Rd Ste 5Linthicum, MD 21090-2766 · Phone (443) 559-4137
Location 27309 Baltimore Ave Ste 219College Park, MD 20740-3200 · Phone (443) 559-4137
Location 3309 E Patrick StFrederick, MD 21701-6792 · Phone (443) 559-4137
Location 41050 North Point Rd Ste 203Baltimore, MD 21224-3336 · Phone (443) 559-4137

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 3

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

SHEILA YVONNE SNOWDEN LCSW
Social Worker (Clinical)
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117
Baltimore County (443) 559-4137
MD MATT
Clinic/Center (Adult Mental Health)
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117
Baltimore County (443) 559-4137
MD MATT LLC
Nurse Practitioner (Psychiatric/Mental Health)
10220 S DOLFIELD RD STE 106
OWINGS MILLS, MD 21117
Baltimore County (443) 559-4137

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 1962011288. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is MD Matt LLC located?

MD Matt LLC is located at 10220 S Dolfield Rd Ste 106, Owings Mills, MD 21117. The listed phone number is (410) 575-1255.

What is MD Matt LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for MD Matt LLC was last updated on April 4, 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.