Henry J Matick, D.O.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

02000949 Issued in IN

Practice address

621 S 7TH St
Vincennes, IN 47591-1069

Phone

(812) 886-6608

Fax

(812) 882-3008

NPI assigned

Dec 13, 2005

Last updated

Dec 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Midwestern University, Chicago College of Osteopathic Med, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
• Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital

  dba Center for Therapy and Sports Performance

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vincennes, IN
  • NPI 1073153474

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Vincennes, IN
  • NPI 1225032881
  Care Compare affiliation
• Crawford Hospital District

  dba CMH Specialty Clinic-Newton

  • Urology Physician
  • Newton, IL
  • NPI 1265309405

  Hospital

  Care Compare affiliation
• Crawford Hospital District

  dba Crawford Memorial Hospital and Health Services

  • Critical Access Hospital
  • Robinson, IL
  • NPI 1265493720
  Care Compare affiliation

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1881679819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911069",
            "telephone_number": "812-886-6608",
            "fax_number": "812-882-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911069",
            "telephone_number": "812-886-6608",
            "fax_number": "812-882-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATICK",
        "first_name": "HENRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02000949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155150",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Marczak, LCSW
• Veronica Sara Mark, MD
• Martha Ann Taylor
• Ardella Rae Martin, CASE MANAGER
• Bethany Nicole Martin
• Kyle A Matsel, PT, DPT
• Kristina Nichol Mattingly, MSW
• Leticia Maxey
• William K Mayfield, MD
• Steven Michael Maynard, M.D.

• Neurology Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.