DRS Decheck and Mataczynski MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31067 Issued in WI

Legal business name

DRS DECHECK AND MATACZYNSKI MD SC

Practice address

3805B Spring St
Suite250
Mount Pleasant, WI 53405-1641

Phone

(262) 634-6679

Fax

(262) 634-7935

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James D Mataczynski, MDNPI 1285613109

Title

President

Phone

(262) 634-6679

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Dean Mataczynski, MD

  • Family Medicine Physician
  • Mount Pleasant, WI
  • NPI 1285613109
  NPD Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1194892265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST",
            "address_2": "SUITE250",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051641",
            "telephone_number": "262-634-6679",
            "fax_number": "262-634-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST",
            "address_2": "SUITE250",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051641",
            "telephone_number": "262-634-6679",
            "fax_number": "262-634-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS DECHECK AND MATACZYNSKI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MATACZYNSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-634-6679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "31067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31598100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Dowd, APNP
• Elizabeth Mary Dowling, CRNA
• Dr Tammy Zimmel LLC
• Eki Drake, FNP
• Michael Brent Dreifke, MD
• Peter Drummond
• Cindi Due, RDH
• Rikki Duesing
• William Dunbar, PHD, L.AC., LDN
• Julie Dunham, LCSW

• Family Medicine Physician in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.