Michael Lyn Mattern, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C1-0002009 Issued in DE

Practice address

724 S New St
Dover, DE 19904-3540

Phone

(302) 734-3416

Fax

(302) 734-4960

NPI assigned

Jul 25, 2006

Last updated

Nov 20, 2012By 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 Medicine

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1811910391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "742 BLDG",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-3970",
            "fax_number": "302-672-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043540",
            "telephone_number": "302-734-3416",
            "fax_number": "302-734-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "MICHAEL",
        "middle_name": "LYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C1-0002009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000130101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Mast
• Zachary Nova Masterson, PHARMD
• Matrix Rehabilitation Delaware, Inc (Barker Therapy & Rehabilitation)
• Matrx Health Inc.
• Mattern & Associates, MD's, PA
• Cherritta Matthews
• Richard Matthews Jr.
• Irene Christina Mavrakakis, MD
• Nerchka N/a Maxi
• Ashley Marrie May, MSN, APRN, FNP-C

• Orthopaedic Surgery Physician in Dover, DE
• Providers in Dover, DE by specialty
• Orthopaedic Surgery Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.