Active NPI
Matthew Maia
- Military Health Care Provider
- Pascagoula, MS
National Provider Identifier
1164110995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 010128359
- Practice address
- 1000 Access Rd # 4
Pascagoula, MS 39567-4485 - Phone
- (228) 935-3252
- NPI assigned
- Apr 28, 2023
- Last updated
- Aug 22, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 010128359 | VA | Primary |
Addresses
Primary practice location
1000 Access Rd # 4
Pascagoula, MS 39567-4485
Mailing address
14801 Lemoyne Blvd Apt 359
Biloxi, MS 39532-7035
Phone (228) 935-3252
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010128359 | VA | MD | Military Health Care Provider |
Interoperability endpoints
- mmaia33185@direct.utmsa.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1164110995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14801 LEMOYNE BLVD APT 359",
"city": "BILOXI",
"state": "MS",
"postal_code": "395327035",
"telephone_number": "228-935-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ACCESS RD # 4",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395674485",
"telephone_number": "228-935-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIA",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-28",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "010128359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.