Active NPI
Matthew James Wasco, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301083495
- Practice address
- 5301 E Huron River Dr
Ypsilanti, MI 48197-1051 - Phone
- (734) 712-3161
- Fax
- (734) 712-2244
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 4301083495 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301083495 | MI | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301083495 | MI | Primary |
Addresses
Primary practice location
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Mailing address
PO Box 446
Ann Arbor, MI 48106-0446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Massachusetts Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083495 | MI | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Services Corporation | Current | Accepting new patients | |
| St Mary Mercy Hospital Crna | Current | Accepting new patients | |
| Chelsea Community Hospital | Current | Accepting new patients | |
| Chelsea Community Hospital | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| St Mary Mercy Hospital | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| St Mary Mercy Hospital Professional | Current | Accepting new patients | |
| Michigan Multispecialty Physicians, P.C. | Blood Banking & Transfusion Medicine | Past | Accepting new patients |
Locations
16507 Southfield Rd
Allen Park, MI 48101
Phone (313) 389-0648
7575 Grand River Rd
Ste 202
Brighton, MI 48114
Phone (810) 844-7566
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
400 W Russell St
Saline, MI 48176
Phone (734) 429-1500
5333 McAuley Dr
Rm 3001
Ypsilanti, MI 48197
Phone (734) 712-4120
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
5301 McAuley Dr
#69504
Ypsilanti, MI 48197
Phone (734) 712-2419
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Psychiatry Physician
- Chelsea, MI
- NPI 1912947409
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1528145554
-
- Certified Registered Nurse Anesthetist
- Chelsea, MI
- NPI 1568542967
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Surgical Critical Care Physician
- Ypsilanti, MI
- NPI 1235659574
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
-
- Certified Registered Nurse Anesthetist
- Livonia, MI
- NPI 1063602092
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1447953971
-
- Critical Care Medicine (Internal Medicine) Physician
- Ypsilanti, MI
- NPI 1912941337
Blood Banking & Transfusion Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1063635274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 446",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481060446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 E HURON RIVER DR",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971051",
"telephone_number": "734-712-3161",
"fax_number": "734-712-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASCO",
"first_name": "MATTHEW",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "MI",
"license": "4301083495",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301083495",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301083495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.