Matthew Licause, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35055573 Issued in OH

Practice address

6512 Whipple Ave NW
North Canton, OH 44720-7340

Phone

(330) 499-5600

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205890019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 MIDVALE RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183237",
            "telephone_number": "330-499-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-499-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICAUSE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35055573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Anthony Lewis, CNP
• Lindsey E Lewis, COTA/L
• Megan Lewis, RD, LD, RN
• Megan K Lewis
• Malorie K Libal, LPTA
• Brandon Gregory Liebau, MD
• Lifeline Partners of Canton, Inc
• Lifeline Partners Sleep & Diagnostic Center, Inc
• Lifeteam EMS Inc
• Danielle Lightell

• Family Medicine Physician in North Canton, OH
• Providers in North Canton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.