Teresa Maria Matty, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

037175 Issued in OH

Practice address

101 5TH St SE
Ste. B
Barberton, OH 44203-4259

Phone

(330) 745-4188

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1255409884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 5TH ST SE",
            "address_2": "STE. B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034259",
            "telephone_number": "330-745-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 5TH ST SE",
            "address_2": "STE. B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034259",
            "telephone_number": "330-745-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTY",
        "first_name": "TERESA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "037175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXPAYER IDENTIFICATION",
            "identifier": "300497760",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346290",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack A Marsh II, LPN
• Carla Marszalkowski, RN
• Yaminah Martin
• Craig Mason, MD
• Matrix Rehabilitation Ohio, Inc.
• Erin Lindsey Maurer
• Dean Mayors, MD
• Cynthia Lynn Mazey, CNP
• Melinda R McClellan, APRN CNP
• Alexander David McComas

• Internal Medicine Physician in Barberton, OH
• Providers in Barberton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.