Karl Frederic Matous, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Msron 9 Naval Station Everett
2000 Marine View Drive Building 2134
Everett, WA 98207-0001

Phone

(425) 304-4790

Fax

(425) 304-4798

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Maritime Expeditionary Security Squadron Nine

  • Operational (Transportable) Military General Acute Care Hospital
  • Everett, WA
  • NPI 1659514859
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1487723532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSRON 9 NAVAL STATION EVERETT",
            "address_2": "2000 MARINE VIEW DRIVE BUILDING 2134",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982070001",
            "telephone_number": "425-304-4790",
            "fax_number": "425-304-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSRON 9 NAVAL STATION EVERETT",
            "address_2": "2000 MARINE VIEW DRIVE BUILDING 2134",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982070001",
            "telephone_number": "425-304-4790",
            "fax_number": "425-304-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOUS",
        "first_name": "KARL",
        "middle_name": "FREDERIC",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Denise Mathews
• Tiffany Lynn Mathias Fielder, MD
• Stephen John Mathias, MA, RC
• John F Matista, PA-C
• Heidi Matlack
• Samantha Annette Matras
• Emily Matson, CMA
• Monica Matt, RPH
• Becky Jean Matter, CP 60169680
• Chelsea Matteson

• Independent Duty Corpsman in Everett, WA
• Providers in Everett, WA by specialty
• Independent Duty Corpsman in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.