NPIMap

Organization Active NPI

Matt Hintz MD, LLC

  • Family Medicine Physician
  • Mount Gilead, OH
National Provider Identifier
1932381597
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35084209 Issued in OH
Legal business name
MATT HINTZ MD, LLC
Practice address
712 Baker St
Mount Gilead, OH 43338-1082
Phone
(419) 947-8001
Fax
(419) 946-8214
NPI assigned
Dec 5, 2007
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Matthew Allan Hintz, M.D.
Title
Owner
Phone
(419) 947-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35084209 OH Primary

Addresses

Primary practice location

712 Baker St
Mount Gilead, OH 43338-1082

Mailing address

712 Baker St
Mount Gilead, OH 43338-1082
Phone (419) 947-8001

Other identifiers 1

IdentifierTypeStateIssuer
2515317MedicaidOH

National Provider Directory

National Provider Directory

Locations

712 Baker St
Mount Gilead, OH 43338
Phone (419) 947-8001

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1932381597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BAKER ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381082",
            "telephone_number": "419-947-8001",
            "fax_number": "419-946-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 BAKER ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381082",
            "telephone_number": "419-947-8001",
            "fax_number": "419-946-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT HINTZ MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HINTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-947-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35084209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2515317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.