Active NPI
Sean a. Matuszak MD PC
- Orthopaedic Foot and Ankle Surgery Physician
- Troy, MI
National Provider Identifier
1861752768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 4301088812
- Legal business name
- SEAN A. MATUSZAK MD PC
- Practice address
- 1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851 - Phone
- (248) 244-9426
- Fax
- (248) 244-9495
- NPI assigned
- May 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean A Matuszak, MD
- Title
- President
- Phone
- (248) 244-9426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 4301088812 | MI | Primary |
Addresses
Primary practice location
1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Mailing address
1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Phone (248) 244-9426
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337817600000",
"number": "1861752768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 KIRTS BLVD",
"address_2": "SUITE 160",
"city": "TROY",
"state": "MI",
"postal_code": "480844851",
"telephone_number": "248-244-9426",
"fax_number": "248-244-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 KIRTS BLVD",
"address_2": "SUITE 160",
"city": "TROY",
"state": "MI",
"postal_code": "480844851",
"telephone_number": "248-244-9426",
"fax_number": "248-244-9495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAN A. MATUSZAK MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A",
"authorized_official_last_name": "MATUSZAK",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-244-9426",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MI",
"license": "4301088812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.