MATTICKS MEDCON LLC


Address: 6309 Wind Tree Rd, Springfield, IL 62712-3738
Phone: 2178997524

MATTICKS MEDCON LLC (NPI# 1457392227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457392227
Entity Type Organization
Organization Name MATTICKS MEDCON LLC
Practice Address 6309 Wind Tree Rd
Springfield
IL 62712-3738
Practice Telephone 2178997524
Practice Fax Number 2175299514
Mailing Telephone 2178997524
Mailing Fax Number 2175299514
Enumeration Date 2006-06-10
Last Update Date 2020-08-22
Authorized Official Name MRS. MARIA MATTICKS (OWNER)
Authorized Official Telephone 2178997524
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Office Location

Street Address 6309 WIND TREE RD
City SPRINGFIELD
State IL
Zip Code 62712-3738

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265602452 Roderick L Matticks Family Medicine 6309 Wind Tree Rd, Springfield, IL 62712-3738 2008-03-04
1134321581 Donna Maria Matticks Developmental Therapist 6309 Wind Tree Rd, Springfield, IL 62712-3738 2007-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881943678 Roland Folse Surgery 2 Virginia Lane, Springfield, IL 62712 2012-09-07
1548351703 Sarah Megan Toland Speech-Language Pathologist 3700 Castle Hill Blvd, Springfield, IL 62712 2006-09-27
1558463760 Beverly J Matthews Psychologist 3517 Carnoustie Dr, Springfield, IL 62712 2006-09-01
1164593018 Mark Alan Rose Dentist 6301 Wind Tree Rd, Springfield, IL 62712-3738 2006-11-13
1134595531 Karen Brown Behavioral Analyst 15 E Hazel Dell Ln, Springfield, IL 62712-4210 2015-08-19
1255834651 Denise Kay Demoulin Speech-Language Pathologist 15 E Hazel Dell Ln, Springfield, IL 62712-4210 2018-03-12
1275089302 Victoria Branda Behavioral Analyst 15 E Hazel Dell Ln, Springfield, IL 62712-4210 2016-08-29
1417174475 Nikki Arends Speech-Language Pathologist 3804 Indian Grass Ln, Springfield, IL 62712-5810 2007-04-19
1710596572 Nichol Speciale Social Worker 3700 Kerry Blvd, Springfield, IL 62712-5858 2020-07-28
1952576308 Kimberly Drewes Contractor 3013 Summerwood Dr, Springfield, IL 62712-5862 2008-04-28
Find all providers in zip 62712

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407646 Troutman Enterprises, LLC Durable Medical Equipment & Medical Supplies 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 2020-11-07
1497315493 Common Sleep, LLC Durable Medical Equipment & Medical Supplies 3246 S National Ave, Springfield, MO 65807-7303 2019-06-20
1649744467 Mednav, LLC Durable Medical Equipment & Medical Supplies 53 Linden Ln, Springfield, IL 62712-8928 2019-01-15
1871065839 Riverwood Medical Incorporated Durable Medical Equipment & Medical Supplies 7830 Backlick Rd Ste 100a, Springfield, VA 22150-2205 2018-12-31
1700358827 Darlan Medical Incorporated Durable Medical Equipment & Medical Supplies 7830 Backlick Rd Ste 100b, Springfield, VA 22150-2205 2018-12-31
1912475484 Show Me Systems LLC Durable Medical Equipment & Medical Supplies 3755 N State Highway H, Springfield, MO 65803-7137 2018-11-02
1346727567 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 2155 Main Street, Suite 131/133, Springfield, MA 01104 2018-07-20
1720570799 Walgreen Co Durable Medical Equipment & Medical Supplies 1150 N 5th St Ste B, Springfield, IL 62702-6366 2018-06-05
1386146405 Slocum Orthopedics, PC Durable Medical Equipment & Medical Supplies 3377 Riverbend Dr Ste 300, Springfield, OR 97477-8804 2018-03-05
1326546045 Howard Datz Durable Medical Equipment & Medical Supplies 6880 Commercial Dr # 38, Springfield, VA 22151-4201 2018-01-28
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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