Matthew Bagan DO PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

OS8365 Issued in FL

Legal business name

MATTHEW BAGAN DO PA

Practice address

18308 Murdock Circle
Suite 105
Port Charlotte, FL 33948-1008

Phone

(941) 743-4150

Fax

(941) 743-4427

NPI assigned

Dec 26, 2007

Last updated

Jan 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Bagan, DONPI 1407819295

Title

Owner

Phone

(941) 743-4150

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew R. Bagan, D.O.

  • Surgery Physician
  • Port Charlotte, FL
  • NPI 1407819295
  Medicare reassignment NPD Authorized official
• Shahriar Anoushfar, D.O.

  • Surgery Physician
  • Houlton, ME
  • NPI 1841258365
  NPD (past)
• Karen M Mackenzie, M.D.

  • Surgery Physician
  • Visalia, CA
  • NPI 1205890654
  NPD (past)

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1881878932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18308 MURDOCK CIRCLE",
            "address_2": "SUITE 105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-743-4150",
            "fax_number": "941-743-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18308 MURDOCK CIRCLE",
            "address_2": "SUITE 105",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481008",
            "telephone_number": "941-743-4150",
            "fax_number": "941-743-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW BAGAN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "BAGAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-743-4150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS8365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheriyan Mathew
• Brenda Ann Mathias, CRDH
• Michaela Grace Mathis-Hagarty
• Deborah M Mathis, LCSW
• Evisencia G Mathurin, DNP
• Thomas Matthews
• Lisa A Mattingly, MD
• Sarai Matzicoff Pena
• Mason S. Maulsby, ARNP
• Arlen Maunahan

• Surgery Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.