Matthew E. Anton, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH
NPI 1144780271 · NPPES record last updated Mar 24, 2019
Key facts
- NPI
- 1144780271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Medical Dr Dept of
Lebanon, NH 03756-1000 - Phone
- (815) 354-5519
- NPI assigned
- Mar 24, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190710002831 | NH | Order and Referring Only - General Surgery |
8628303831 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Medical Dr Dept of
Lebanon, NH 03756-1000
Mailing address
30035 N Waukegan Rd Apt 116
Lake Bluff, IL 60044-1098
Phone (815) 354-5519
Other providers in Lebanon, NH
- Angela J Santavicca DDS PLLC
- Alexandra J Angelo
- Claire Kathryn Ankuda
- Joseph Payne Annis
- Catherine Anton
- Christine E Anzalone
- Yuki Aoyagi
- Savinda Aponso
- Devin Marie Applebee
- Teimuraz Apridonidze
All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.