Thomas S Matysik DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1995 Issued in FL

Legal business name

THOMAS S MATYSIK DPM

Practice address

2246 Highway 44 W
Inverness, FL 34453-3808

Phone

(352) 726-0331

Fax

(352) 726-7189

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Matysik, DPM

Title

Owner

Phone

(352) 726-0331

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1902298060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533808",
            "telephone_number": "352-726-0331",
            "fax_number": "352-726-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533808",
            "telephone_number": "352-726-0331",
            "fax_number": "352-726-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S MATYSIK DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "MATYSIK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-726-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052129900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Inverness, FL
• Providers in Inverness, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.