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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
6309 WIND TREE RD |
City | SPRINGFIELD |
State | IL |
Zip Code | 62712-3738 |
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 |
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 Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
City | SPRINGFIELD |
Zip Code | 62712 |
Please comment or provide details below to improve the information on MATTICKS MEDCON LLC.
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.