# GARY A. MATTHYS MD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthys Orthopaedic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568643823
- **Authorized official:** DR. GARY A MATTHYS MD (SOLE MEMBER)
- **Authorized official phone:** (701) 241-9300

## Contact information

- **Practice address:** 2301 25TH ST S STE I, FARGO, ND 58103-6104
- **Practice address phone:** (701) 241-9300
- **Practice address fax:** (701) 235-4525
- **Mailing address:** 2301 25TH ST S STE I, FARGO, ND 58103-6104
- **Mailing address phone:** (701) 241-9300
- **Mailing address fax:** (701) 235-4525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 8590 | ND | Yes |

## Other

- **Enumeration date:** 11/15/2007
- **Last updated:** 04/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 07030001 | BCBS | ND |
| 05 | — | 14488 | — | ND |
| 01 | — | 6I410MA | MN BCBS | MN |
| 05 | — | 708457000 | — | MN |
| 05 | — | 7700312 | — | SD |
| 01 | — | 9809527 | MEDICA | — |
| 01 | — | DH0802 | RR MEDICARE | — |
| 01 | — | HP32046 | HEALTH PARTNERS | — |