Individual provider Active NPI

Linda K Ormond-Matlock, PA-C

  • Medical Physician Assistant
  • Grand Blanc, MI
National Provider Identifier
1356476212
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601002154 Issued in MI
Practice address
3399 Pollock Rd
Grand Blanc, MI 48439-8393
Phone
(810) 603-0170
Fax
(810) 603-2370
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002154 MI Primary

Addresses

Primary practice location

3399 Pollock Rd
Grand Blanc, MI 48439-8393

Mailing address

2402 Jossman Rd
Holly, MI 48442-8205
Phone (242) 627-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000248 MI Practitioner - Physician Assistant 5395636781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Cardiology Associates, P.L.C. CurrentSince Nov 5, 2007 Accepting new patients
Genesys Practice Partners Inc CurrentSince Jul 1, 2022 Accepting new patients
Genesys Practice Partners Inc Physician Assistant Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3399 Pollock Rd
Grand Blanc, MI 48439
Phone (810) 603-0170

Interoperability endpoints

  • Direct secure messaging: lormondmatlock1143520@direct.hfhs.org
  • Direct secure messaging: linda.ormond-matlock.1@8209.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1356476212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 JOSSMAN RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428205",
            "telephone_number": "242-627-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 POLLOCK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398393",
            "telephone_number": "810-603-0170",
            "fax_number": "810-603-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMOND-MATLOCK",
        "first_name": "LINDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.