Mark Stanley Matthias, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33585 Issued in MN

Practice address

1900 Centracare Circle
Suite 2400
St. Cloud, MN 56303-5000

Phone

(320) 229-5171

Fax

(320) 229-5171

NPI assigned

Nov 17, 2006

Last updated

Apr 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hutchinson Medical Center PA

  • Multi-Specialty Clinic/Center
  • Hutchinson, MN
  • NPI 1538219423
  NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1932273349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE",
            "address_2": "SUITE 2400",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-5099",
            "fax_number": "320-229-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE",
            "address_2": "SUITE 2400",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-5171",
            "fax_number": "320-229-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHIAS",
        "first_name": "MARK",
        "middle_name": "STANLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00631764",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413202500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas M Math, MD
• Michael James Mathies, LICSW
• Tamara Jean Mathies, CMT
• Josalynn Mathison
• Morgan Nan Matter, RD, LD
• Brandon Jacob Mattison, D.O.
• Susan Mattison, CNP
• Gail Mattocks, LADC
• Kaija Mattson, RBT
• Margaret May Mattson, PHARMD

• Family Medicine Physician in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.