Clifford Matushin PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3575 Issued in SD

Legal business name

CLIFFORD MATUSHIN PC

Practice address

201 S Lloyd St Ste 140
Aberdeen, SD 57401-4519

Phone

(605) 229-2544

Fax

(605) 229-2115

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Michael Matushin, DO

Title

Physician

Phone

(605) 229-2544

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1861602500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST STE 140",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014519",
            "telephone_number": "605-229-2544",
            "fax_number": "605-229-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST STE 140",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014519",
            "telephone_number": "605-229-2544",
            "fax_number": "605-229-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD MATUSHIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MATUSHIN",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "605-229-2544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "3575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002770",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4997166",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Aberdeen SD
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• Joshua James Claymore
• Sara Ann Clements
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• Eran M Cochran
• Conklin Clinics, Prof LLC
• Conklin Regional Cancer Center PC
• Ginger Conklin, DNP, PMHNP

• Internal Medicine Physician in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Internal Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.