Internal Medicine of Barberton, Teresa Matty, M.D., Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037175 Issued in OH

Legal business name

INTERNAL MEDICINE OF BARBERTON, TERESA MATTY, M.D., INC

Practice address

101 5TH St SE Ste B
Barberton, OH 44203-4225

Phone

(330) 745-4188

Fax

(330) 745-9244

NPI assigned

Sep 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Teresa Maria Matty, M.D.

Title

Owner Practitioner

Phone

(330) 745-4188

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1083864672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST SE STE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034225",
            "telephone_number": "330-745-4188",
            "fax_number": "330-745-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST SE STE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034225",
            "telephone_number": "330-745-4188",
            "fax_number": "330-745-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF BARBERTON, TERESA MATTY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "MATTY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER PRACTITIONER",
        "authorized_official_telephone_number": "330-745-4188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "037175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346290",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "MA0412372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Barberton, OH
• Providers in Barberton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.