Individual provider Active NPI

Matthew D Inman, D.O.

  • Family Medicine Physician
  • Carrollton, OH
National Provider Identifier
1689680191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-007915 Issued in OH
Practice address
125 Canton Rd NW
Suite a
Carrollton, OH 44615-1009
Phone
(330) 627-8163
Fax
(330) 627-0197
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-007915 OH Primary

Addresses

Primary practice location

125 Canton Rd NW
Suite a
Carrollton, OH 44615-1009

Mailing address

125 Canton Rd NW
Suite a
Carrollton, OH 44615-1009
Phone (330) 627-8163

Other identifiers 1

IdentifierTypeStateIssuer
2617654MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000330 OH Practitioner - Family Practice 5799709614 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-007915OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Jul 15, 2012 Accepting new patients
Mercy Professional Care, LLC Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Cleveland Clinic Mercy Hospital CurrentSince Jul 15, 2012 Accepting new patients

Locations

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

125 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7300

125 Canton Rd NW
Ste A
Carrollton, OH 44615
Phone (330) 627-8163

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689680191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CANTON RD NW",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151009",
            "telephone_number": "330-627-8163",
            "fax_number": "330-627-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CANTON RD NW",
            "address_2": "SUITE A",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446151009",
            "telephone_number": "330-627-8163",
            "fax_number": "330-627-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2617654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, OH

Sources for this page

Verify at the official NPI Registry.