Irineo C Matias, M.D.

Key facts

NPI

1033174271

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

4301031842 (MI)

Practice address

1371 W Main St
Gaylord, MI 49735-7401

Phone

(989) 732-4118

Fax

(989) 732-7137

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033174271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357401",
            "telephone_number": "989-732-4118",
            "fax_number": "989-732-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497357401",
            "telephone_number": "989-732-4118",
            "fax_number": "989-732-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "IRINEO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301031842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Gaylord, MI · Family Medicine Physician in Michigan