Individual provider Active NPI

Maria Del Carmen Matinchev, M.D.

  • Internal Medicine Physician
  • Rogers, AR
National Provider Identifier
1669796033
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-2120 Issued in AR
Practice address
2054 S 54TH St
Rogers, AR 72758-8196
Phone
(479) 246-9002
Fax
(479) 246-9005
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-2120 AR Primary

Addresses

Primary practice location

2054 S 54TH St
Rogers, AR 72758-8196

Mailing address

2054 S 54TH St
Rogers, AR 72758-8196
Phone (479) 246-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-2120ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehabilitation Associates of NW Ar PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1669796033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588196",
            "telephone_number": "479-246-9002",
            "fax_number": "479-246-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588196",
            "telephone_number": "479-246-9002",
            "fax_number": "479-246-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATINCHEV",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.