Philip a Matorin MD PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

J0103 Issued in TX

Legal business name

PHILIP A MATORIN MD PA

Practice address

12121 Richmond Ave
Suite #304
Houston, TX 77082-2432

Phone

(281) 920-5558

Fax

(281) 920-5568

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip A Matorin, M.D.

Title

President

Phone

(281) 920-5558

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1902837412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE #304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822437",
            "telephone_number": "281-920-5558",
            "fax_number": "281-920-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE",
            "address_2": "SUITE #304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822432",
            "telephone_number": "281-920-5558",
            "fax_number": "281-920-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A MATORIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MATORIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-920-5558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J0103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID",
            "identifier": "0008NJ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1208665",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183307101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Phifer
• Treasa Phifer
• Phil-Care LLC
• Elizabeth Catherine Philbin, RN
• Lisa Philbrook, MD
• Philip a. Waller, MD, PA
• Victor Philip Effiong
• Philip J Cimo DDS PA
• Philip J Cimo DDS PA
• Philip L. Leggett, MD, PLLC

• Otolaryngology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Otolaryngology Physician in Texas

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