Active NPI
Matthew Aaron Taintor, MD
- Hospitalist Physician
- Juneau, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MEDS7593
- Practice address
- 1200 Salmon Creek Lane
Juneau, AK 99801 - Phone
- (907) 463-4012
- NPI assigned
- Oct 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MEDS7593 | AK | |
| Pediatrics Physician | 208000000X | MEDS7593 | AK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | MEDS7593 | AK | Primary |
Addresses
Primary practice location
1200 Salmon Creek Lane
Juneau, AK 99801
Mailing address
3100 Channel Dr Ste 300
Juneau, AK 99801-7837
Phone (907) 463-4074
Other practice location 1
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-5171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1579297 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120820000578 | TX | Practitioner - Pediatric Medicine | 4981851375 | Reassigns benefits to 1 organization |
| I20160830000392 | AK | Practitioner - Pediatric Medicine | 4981851375 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Bartlett Regional Hospital | Current | Accepting new patients | |
| South East Alaska Regional Health Consortium | Current | Accepting new patients | |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| Peacehealth | Internal Medicine | Current | Accepting new patients |
| Southeast Alaska Regional Health Consortium | Current | Accepting new patients | |
| South East Alaska Regional Health Consortium | Past | Accepting new patients | |
| Alpine Dermatology, LLC | Past | Accepting new patients | |
| Bartlett Regional Hospital | Past | Accepting new patients |
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3225 Hospital Dr
Unit 101A
Juneau, AK 99801
Phone (907) 523-5411
1200 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 463-4031
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Organizations & group practices 20
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Ketchikan, AK
- NPI 1528544822
-
- Home Health Agency
- Ketchikan, AK
- NPI 1760427082
-
- Skilled Nursing Facility
- Ketchikan, AK
- NPI 1851336176
-
- Critical Access Hospital
- Wrangell, AK
- NPI 1356829279
-
- Skilled Nursing Facility
- Sitka, AK
- NPI 1356901961
-
- Skilled Nursing Facility
- Wrangell, AK
- NPI 1396223210
-
- Community/Behavioral Health Agency
- Juneau, AK
- NPI 1417671967
-
- Ambulatory Surgical Clinic/Center
- Sitka, AK
- NPI 1457541468
Hospital & facility affiliations 37
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Tenakee Springs, AK
- NPI 1477721280
Hospital
-
- Nursing Facility/Intermediate Care Facility
- Juneau, AK
- NPI 1932312485
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Minnesota Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Alaska Regional Health ConsortiumPeacehealthBartlett Regional Hospital
Practice addresses (Care Compare)
1204 Seward Ave
Searhc 1204 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1206 Seward Ave
Searhc 1206 Behavioral Health Sitka
Sitka, AK 99835-7359
Phone (907) 966-8611
1209 Seward Ave
Searhc 1209 Behavioral
Sitka, AK 99835-7359
Phone (907) 966-8611
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
227 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 228-8300
3268 Hospital Dr
Suite a
Juneau, AK 99801-7800
Phone (907) 796-8713
Hospital & facility affiliations
- Bartlett Regional Hospital
- Peacehealth Ketchikan Medical Center
- Southeast Alaska Regional Health Consortium
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1174776306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 CHANNEL DR STE 300",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017837",
"telephone_number": "907-463-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SALMON CREEK LANE",
"city": "JUNEAU",
"state": "AK",
"postal_code": "99801",
"telephone_number": "907-463-4012"
}
],
"practiceLocations": [
{
"address_1": "3100 Tongass Ave",
"address_purpose": "LOCATION",
"city": "Ketchikan",
"state": "AK",
"postal_code": "999015746",
"country_code": "US",
"telephone_number": "907-228-5171",
"fax_number": "907-228-8335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAINTOR",
"first_name": "MATTHEW",
"middle_name": "AARON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "MEDS7593",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "MEDS7593",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AK",
"license": "MEDS7593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1579297",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.