Organization
MD MATT LLC
Active
Parent organization
MD MATT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD MATT LLC
Authorized official
WILLIAM SHAFFER (DIRECTOR)
(443) 220-6122
Entity
Organization
Contact information
Practice address
6401 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3201
(410) 364-8194
(410) 364-8194
Mailing address
10220 S DOLFIELD RD STE 106, OWINGS MILLS, MD 21117-3660
(443) 559-4137
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062712289
—
DC
05
—
181014604
—
MD
Enumeration date
09/24/2021
Last updated
12/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us