Individual provider Active NPI

Catherine R Matisi, D.O.

  • Specialist
  • Belpre, OH
National Provider Identifier
1114946373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34005440 Issued in OH
Practice address
2515 Washington Blvd
Belpre, OH 45714-1957
Phone
(740) 423-4225
Fax
(740) 423-4228
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 34005440 OH Primary

Addresses

Primary practice location

2515 Washington Blvd
Belpre, OH 45714-1957

Mailing address

2515 Washington Blvd
Belpre, OH 45714-1957
Phone (740) 423-4225

Other identifiers 1

IdentifierTypeStateIssuer
2455669MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34005440OHMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114946373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141957",
            "telephone_number": "740-423-4225",
            "fax_number": "740-423-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 WASHINGTON BLVD",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141957",
            "telephone_number": "740-423-4225",
            "fax_number": "740-423-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISI",
        "first_name": "CATHERINE",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "34005440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2455669",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.