Debra Lee Matzen, MSOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

283-055 Issued in WI

Practice address

8736 W North Ave
Wauwatosa, WI 53226-2724

Phone

(414) 431-5010

Fax

(414) 431-5010

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acupuncture and Oriental Medicine Services, LLC

  • Health Service Clinic/Center
  • Wauwatosa, WI
  • NPI 1629814959
  NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932268091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8736 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262724",
            "telephone_number": "414-431-5010",
            "fax_number": "414-431-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8736 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262724",
            "telephone_number": "414-431-5010",
            "fax_number": "414-431-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZEN",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "MSOM, L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "283-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leora Massey, MD
• Madeline Masterson, MD
• Liza E Mathson, APNP
• Ryan J Mattek, PH.D.
• Abby Matthews, LCSW
• Mary Kathryn Maxey, R.D.
• Maxim Healthcare Services, Inc.
• Jennifer L Maxwell, LCSW
• Korrin May-Bretl, PTA
• Michelle J May, D.M.D.

• Acupuncturist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.