Joseph M Mattox in Fort Wayne - Sports Medicine
Joseph M Mattox - NPI 1154367944
Joseph M Mattox is a Sports Medicine in Fort Wayne, Indiana. Joseph M Mattox practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Joseph M Mattox is 1154367944. The last update date is 2022-10-07.
Joseph M Mattox's current location address is 5050 N Clinton St, Fort Wayne, Indiana. You can contact this provider via phone number 2604848551 and fax number 2604825060. The mailing address for Joseph M Mattox is 5050 N Clinton St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph M Mattox |
|---|---|
| Address | 5050 N Clinton St, Fort Wayne, Indiana |
| Phone Number | 2604848551 |
| Fax Number | 2604825060 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154367944 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2022-10-07 |
Provider Mailing Address Detail
| Address | 5050 N Clinton St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255886 |
| Phone Number | 2604848551 |
| Fax Number | 2604825060 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 01051027A |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00846132 | IN | MEDICARE RR | |
| 11180921 | IN | CAQH | |
| 200187520 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Joseph M Mattox by the Centers for Medicare & Medicaid Services (CMS)?
The Joseph M Mattox has been assigned the NPI (National Provider Identifier) 1154367944. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Joseph M Mattox is located?
The Joseph M Mattox is situated at the following address: 5050 N Clinton St, Fort Wayne, IN, 468255886.
What is Joseph M Mattox's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joseph M Mattox is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Xx0005X.
On what date was the 1154367944 assigned to Joseph M Mattox?
The Joseph M Mattox was issued its 1154367944 on 2006-06-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Joseph M Mattox most recently updated or revised?
The information pertaining to Joseph M Mattox, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-07.