Marcia A Matuska, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

012373 Issued in ME

Practice address

76 High St
Suite 305a
Lewiston, ME 04240-7649

Phone

(207) 777-7149

Fax

(207) 782-1336

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bates Mill Dermatology, P.L.L.C.

  • Dermatology Physician
  • Lewiston, ME
  • NPI 1972529865
  NPD (past)
• Dermatology Associates, LLC

  • Dermatology Physician
  • Portland, ME
  • NPI 1780635342
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720147267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "address_2": "SUITE 305A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-777-7149",
            "fax_number": "207-782-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 HIGH ST",
            "address_2": "SUITE 305A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407649",
            "telephone_number": "207-777-7149",
            "fax_number": "207-782-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSKA",
        "first_name": "MARCIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "012373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Masten, CADC
• Rebecca Mastrianno, CRNA
• E May Matheson-Thomas, LCSW
• Colleen Jo Mathieu
• Shilo L Mathieu, FNP
• Maurice R Gardner DPM PA
• Mohamed Mawel
• Mayson Senior Care LLC
• Joy P Mazziotti
• John Arthur Mazzola, PHD

• Dermatology Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.