Organization Active NPI

Gary a Matthys MD PLC

Doing business as Matthys Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Fergus Falls, MN
National Provider Identifier
1407184070
Registry record updated Dec 22, 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
129 E Lincoln Ave
Fergus Falls, MN 56537-2283
Phone
(218) 998-2663
Fax
(701) 235-4525
NPI assigned
Nov 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 8590 ND Primary

Addresses

Primary practice location

129 E Lincoln Ave
Fergus Falls, MN 56537-2283

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
6I410MAOtherBCBS MN
9809527OtherMEDICA
HP32046OtherHEALTHPARTNERS
708457000MedicaidMN

Other names 1

  • MATTHYS ORTHOPAEDIC CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

924 McKinley Ave
Detroit Lakes, MN 56501
Phone (218) 234-2907

129 E Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 998-2663

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": "1261440000000",
    "number": "1407184070",
    "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": "129 E LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372283",
            "telephone_number": "218-998-2663",
            "fax_number": "701-235-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY A MATTHYS MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-12-22",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "ND",
            "license": "8590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "6I410MA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "9809527",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP32046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "708457000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATTHYS ORTHOPAEDIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.