Matticks Medcon LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MATTICKS MEDCON LLC

Practice address

6309 Wind Tree Rd
Springfield, IL 62712-3738

Phone

(217) 899-7524

Fax

(217) 529-9514

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Matticks

Title

Owner

Phone

(217) 899-7524

Specialties & licenses 1

Addresses

Practitioners 1

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

• Donna Maria Matticks, RN

  • Community Health Registered Nurse
  • Springfield, IL
  • NPI 1134321581
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457392227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 WIND TREE RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627123738",
            "telephone_number": "217-899-7524",
            "fax_number": "217-529-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 WIND TREE RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627123738",
            "telephone_number": "217-899-7524",
            "fax_number": "217-529-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTICKS MEDCON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTICKS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-899-7524",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Matos, MD
• Matt Vandermolen DDS PC
• Matthew Q English IV LCSW Ryt LLC
• Beverly J Matthews, PSYD
• Frances Marie Matthews, MD
• Donna Maria Matticks, RN
• Roderick L Matticks, M.D.
• Carlene Mattimore, M.S., L.C. P.C.
• Diane Mattiuz, PHARMD
• Evelina Matveyev, LCSW

• Durable Medical Equipment & Medical Supplies in Springfield, IL
• Providers in Springfield, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.