Organization Active NPI

Gary a Matthys MD PLC

Doing business as Matthys Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Mayville, ND
National Provider Identifier
1326376997
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
8590 Issued in ND
Legal business name
GARY A MATTHYS MD PLC
Doing business as
Matthys Orthopaedic Center
Practice address
42 6TH Ave SE
Mayville, ND 58257-1506
Phone
(701) 241-9300
Fax
(701) 235-4525
NPI assigned
Nov 19, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Abby Lewis
Title
Office Manager
Phone
(701) 241-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 8590 ND Primary

Addresses

Primary practice location

42 6TH Ave SE
Mayville, ND 58257-1506

Mailing address

2301 25TH St S
Suite I
Fargo, ND 58103-6104
Phone (701) 241-9300

Other identifiers 1

IdentifierTypeStateIssuer
14488MedicaidND

Other names 1

  • MATTHYS ORTHOPAEDIC CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gary a Matthys MD PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1326376997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 25TH ST S",
            "address_2": "SUITE I",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036104",
            "telephone_number": "701-241-9300",
            "fax_number": "701-235-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 6TH AVE SE",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571506",
            "telephone_number": "701-241-9300",
            "fax_number": "701-235-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A MATTHYS MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-241-9300"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ND",
            "license": "8590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14488",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATTHYS ORTHOPAEDIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayville, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.