James Dean Mataczynski, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31067 020 Issued in WI

Practice address

3805B Spring St
Suite 250
Mount Pleasant, WI 53405-1641

Phone

(262) 634-6679

Fax

(262) 634-7935

NPI assigned

Jan 10, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Decheck and Mataczynski MD SC

  • Family Medicine Physician
  • Mount Pleasant, WI
  • NPI 1194892265
  NPD Authorized official
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Racine, WI
  • NPI 1477730356
  Medicare reassignment
• American Current Care PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Milwaukee, WI
  • NPI 1548503436
  NPD
• American Current Care P.a.

  dba Concentra Urgent Care

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1508044587
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1285613109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST",
            "address_2": "SUITE 250",
            "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": "SUITE 250",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534051641",
            "telephone_number": "262-634-6679",
            "fax_number": "262-634-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATACZYNSKI",
        "first_name": "JAMES",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "31067 020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31598100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Marsh, DNP, CRNA, APNP
• Tiana Marshall
• Katie Martin
• Kelly C. Martin, APNP
• Lindsey Martinez, MOTRL
• Emily M Matson, PTA
• Katrina Kiefer Matthias, LPC
• Carrie Mattie-Jensen
• Susan Maxwell, DPT
• Christopher J May, PT, DPT, OCS

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.