NPIMap

Organization Active NPI

Michael J Mattice MD

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1497726780
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL J MATTICE MD
Practice address
2050 40TH Ave
Vero Beach, FL 32960
Phone
(772) 564-0175
Fax
(772) 770-1171
NPI assigned
Jan 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Michael J Mattice, MD
Title
Owner Physician
Phone
(772) 564-0175

Specialties & licenses 1

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

Addresses

Primary practice location

2050 40TH Ave
Vero Beach, FL 32960

Mailing address

2050 40TH Ave
Vero Beach, FL 32960
Phone (772) 564-0175

Other names 1

  • Urgent Care West Doing business as

National Provider Directory

National Provider Directory

Locations

2050 40th Ave
Ste 6
Vero Beach, FL 32960
Phone (772) 564-0175

2050 40th Ave
Vero Beach, FL 32960
Phone (772) 564-0175

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1497726780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 40TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-564-0175",
            "fax_number": "772-770-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 40TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-564-0175",
            "fax_number": "772-770-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J MATTICE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "772-564-0175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.