Individual provider Active NPI

Erich Von Mattern, M.D.

  • Family Medicine Physician
  • Lamoille, NV
National Provider Identifier
1831162155
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NV7943 Issued in NV
Practice address
Rural Rte. 551 Ridgeway Drive
Box 281738
Lamoille, NV 89828-1738
Phone
(775) 778-9633
Fax
(775) 778-0304
NPI assigned
Feb 8, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NV7943 NV
Family Medicine Physician 207Q00000X NV7943 NV Primary

Addresses

Primary practice location

Rural Rte. 551 Ridgeway Drive
Box 281738
Lamoille, NV 89828-1738

Mailing address

PO Box 281738
Rural Rte. 551 Ridgeway Drive
Lamoille, NV 89828-1738
Phone (775) 778-9633

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NV7943NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Radiological Associates, Inc. a Medical Group Past Accepting new patients
Pioneer Urgent Care, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831162155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281738",
            "address_2": "RURAL RTE. 551 RIDGEWAY DRIVE",
            "city": "LAMOILLE",
            "state": "NV",
            "postal_code": "898281738",
            "telephone_number": "775-778-9633",
            "fax_number": "775-778-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RURAL RTE. 551 RIDGEWAY DRIVE",
            "address_2": "BOX 281738",
            "city": "LAMOILLE",
            "state": "NV",
            "postal_code": "898281738",
            "telephone_number": "775-778-9633",
            "fax_number": "775-778-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "ERICH",
        "middle_name": "VON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "NV7943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "NV7943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamoille, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.