Dr Graeme Van Matre Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

08001960A Issued in IN

Legal business name

DR GRAEME VAN MATRE INC

Practice address

421 W Main St
Westfield, IN 46074-9550

Phone

(317) 496-3624

Fax

(317) 867-1877

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Graeme Guy Van Matre, D.C.NPI 1821027087

Title

President

Phone

(317) 496-3624

Specialties & licenses 1

Addresses

Other names 1

• Graeme Van Matre DC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Graeme Guy Van Matre, D. C.

  • Sports Physician Chiropractor
  • Westfield, IN
  • NPI 1821027087
  Medicare reassignment NPD Authorized official
• Armand M Courtot, D.C.

  • Chiropractor
  • Westfield, IN
  • NPI 1164641262
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1447405386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W MAIN ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749550",
            "telephone_number": "317-496-3624",
            "fax_number": "317-867-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W MAIN ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749550",
            "telephone_number": "317-496-3624",
            "fax_number": "317-867-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GRAEME VAN MATRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "VAN MATRE",
        "authorized_official_first_name": "GRAEME",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-496-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IN",
            "license": "08001960A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graeme Van Matre DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nelson Arvin Dorado
• Keith Raphael Doram, M.D.
• Doug Hodge Orthotics
• Allison Douglas
• Raymond J Downing, BSPHARM
• Molly Susan Drayer
• Lisa Ann Drumb, PHD, BCBA
• Suzanne Elaine Ducate, M.D.
• Ennis Dundu
• Taylor Ann Dye

• Rehabilitation Clinic/Center in Westfield, IN
• Providers in Westfield, IN by specialty
• Rehabilitation Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.