Mathew J An, MS, ATC
Individual provider Active NPI Athletic Trainer · Chestertown, MD
NPI 1194130070 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1194130070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- A01229 (MD)
- Practice address
- 300 Washington Ave
Sports Medicine
Chestertown, MD 21620 - Phone
- (410) 810-7495
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL3538 | FL | MD | Athletic Trainer |
| A01229 | MD | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL3538 | FL | |
| Athletic Trainer | 2255A2300X | A01229 | MD | Yes |
Addresses
Primary practice location
300 Washington Ave
Sports Medicine
Chestertown, MD 21620
Mailing address
300 Washington Ave
Sports Medicine
Chestertown, MD 21620-1172
Phone (410) 810-7495
Other providers in Chestertown, MD
- Acts Communities of Maryland, Inc.
- Advanced Pain Management Specialists LLC
- Advanced Pain Management Specialists, LLC
- Joyceline Asongalem Acha Alemgang
- Kristen Leigh Anderson
- Paulette D. Anderson
- Anthony J Moorman MD and Associates PC
- Emily R Anthony
- Joseph B Aquilla
All providers in Chestertown, MD · Athletic Trainer in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.