Erich V. Mattern M.D. Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

NV7943 Issued in NV

Legal business name

ERICH V. MATTERN M.D. PROFESSIONAL CORPORATION

Doing business as

Family Medical Clinic

Practice address

885 Railroad St
Elko, NV 89801-3831

Phone

(775) 778-9633

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon M Webb, RN

Title

Clinic Manager

Phone

(775) 778-9633

Specialties & licenses 1

Addresses

Other names 1

• Family Medical Clinic Doing business as

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740318203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 RAILROAD ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013831",
            "telephone_number": "775-778-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 RAILROAD ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013831",
            "telephone_number": "775-778-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICH V. MATTERN M.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "775-778-9633",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NV",
            "license": "NV7943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elko Spine & Rehabilitation Institute
• Elko Womens Wellness-Gary D.Wright M.D. P.C.
• David Ellefsen
• Carrissa A Ellis
• Ellsworth Cox NV Specialty Dental Services, PLLC (Children's Dentistry of Elko)
• Chelsea Denise Erquiaga
• Amy Estrada
• Katie Estrada
• Irene Eure
• Kaylah Danielle Evans

• Primary Care Clinic/Center in Elko, NV
• Providers in Elko, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.