Thomas J. Matiski, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

18682 Issued in AZ

Practice address

1625 E Northern Ave
Suite 103
Phoenix, AZ 85020-3960

Phone

(602) 200-9021

Fax

(602) 200-9087

NPI assigned

Mar 2, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1952378622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 E MOUNTAIN VIEW RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284045",
            "telephone_number": "602-992-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E NORTHERN AVE",
            "address_2": "SUITE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203960",
            "telephone_number": "602-200-9021",
            "fax_number": "602-200-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATISKI",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "18682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288250",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Steven Mathson
• Lanie Matias
• Dejan Matijevic, ND
• Nassim Matin, M.D.
• Vafa Matin, DO
• Charles Matlin, M.D.
• Pamela Matlin, OTRL
• Joan Anne Matlock, MFT
• Ira Robert Matloff, D.D.S.,M.S.
• Chelsea Matney, MD

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.