NPIMap

Organization Active NPI

Matt Ptaszkiewicz MD PC

  • Family Medicine Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1457537086
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301074851 Issued in MI
Legal business name
MATT PTASZKIEWICZ MD PC
Practice address
19787 Mack Ave
Grosse Pointe Woods, MI 48236-2503
Phone
(313) 881-2666
Fax
(313) 882-7596
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Matt Ptaszkiewicz, M. D.
Title
Owner
Phone
(313) 881-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301074851 MI Primary

Addresses

Primary practice location

19787 Mack Ave
Grosse Pointe Woods, MI 48236-2503

Mailing address

19787 Mack Ave
Grosse Pointe Woods, MI 48236-2503
Phone (313) 881-2666

National Provider Directory

National Provider Directory

Locations

19787 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-2666

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1457537086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19787 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362503",
            "telephone_number": "313-881-2666",
            "fax_number": "313-882-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19787 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362503",
            "telephone_number": "313-881-2666",
            "fax_number": "313-882-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT PTASZKIEWICZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "PTASZKIEWICZ",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-881-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.