Matthew Glen Checketts, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

007545 Issued in AZ

Practice address

2850 E Main St Ste 106
Mesa, AZ 85213-9304

Phone

(480) 618-0019

NPI assigned

Apr 27, 2015

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1518344753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "773-352-1517",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 E MAIN ST STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852139304",
            "telephone_number": "480-618-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECKETTS",
        "first_name": "MATTHEW",
        "middle_name": "GLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "007545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518344753",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Marie Chavez, PA-C
• Lisa Chavez
• Madison Chavez
• Shaunalee Chavez, MA, CFY-SLP
• Celeste L. Cheatham, M.C., L.P.C.
• Krystal Rebecca Chee, O.D.
• Manuel J Chee, MD
• Venesa Chee, LCSW
• Karen Chemodurow, PHARM.D.
• Gloria A Chen Kaye, DMD

• Internal Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.