Matisons Orthotics-Prosthetics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

101091 Issued in TX

Legal business name

MATISONS ORTHOTICS-PROSTHETICS, LLC

Practice address

3560 S Alameda St
Suite 2
Corpus Christi, TX 78411-1700

Phone

(361) 854-5200

Fax

(361) 854-7626

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Matisons, CPO, LPO

Title

President

Phone

(361) 854-5200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1275562126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S ALAMEDA ST",
            "address_2": "SUITE 2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111700",
            "telephone_number": "361-854-5200",
            "fax_number": "361-854-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S ALAMEDA ST",
            "address_2": "SUITE 2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111700",
            "telephone_number": "361-854-5200",
            "fax_number": "361-854-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATISONS ORTHOTICS-PROSTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "MATISONS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-854-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "101091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534067-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Mathew, M.D.
• Holly Jean Mathews, LVN
• Kellie Mathieu
• Rohit Mathur, BDS, MPH, MS
• Sarona Mathware, MD
• Matisons Orthotics-Prosthetics, LLC
• Matoke Incorporated Southside Pharmacy (Northwest Pharmacy)
• Eric Onyancha Matoke, PHARMACIST
• Janice H Matosky, LPC, LPA, LCCA
• Matthew J Ficenec, MD, PA

• Prosthetic/Orthotic Supplier in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.