John Matzko is a Body Imaging in Raleigh, North Carolina. John Matzko practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for John Matzko is 1578503645. The last update date is 2007-07-08.
John Matzko's current location address is Po Box 19368, Raleigh, North Carolina. You can contact this provider via phone number 9197878221 and fax number 9197894461. The mailing address for John Matzko is Po Box 19368, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Matzko |
|---|---|
| Address | Po Box 19368, Raleigh, North Carolina |
| Phone Number | 9197878221 |
| Fax Number | 9197894461 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578503645 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 19368 |
|---|---|
| City | Raleigh |
| State | North Carolina (NC) |
| Post Code | 276199368 |
| Phone Number | 9197878221 |
| Fax Number | 9197894461 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 96-00631 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16-54620 | NC | UNITED HEALTHCARE | |
| 8954833 | NC | -- | |
| 16-54618 | NC | UNITED HEALTHCARE | |
| 64595 | NC | MEDCOST | |
| 54833 | NC | BLUECROSS BLUESHIELD | |
| 64597 | NC | MEDCOST | |
| 16-54619 | NC | UNITED HEALTHCARE | |
| 64599 | NC | MEDCOST |
Post Comment/ Review Below
What is the unique identifier code issued to John Matzko by the Centers for Medicare & Medicaid Services (CMS)?
The John Matzko has been assigned the NPI (National Provider Identifier) 1578503645. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where John Matzko is physically located?
The John Matzko is situated at the following address: Po Box 19368, Raleigh, NC 276199368.
What is John Matzko's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Matzko is Body Imaging, and the taxonomy classification code that categorizes this area of expertise is 2085B0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578503645 to John Matzko?
The Centers for Medicare & Medicaid Services originally issued the 1578503645 to John Matzko on 2006-06-07.
As of what date were the details pertaining to John Matzko last refreshed?
The information related to the John Matzko, including its address, specialty, and other relevant details, was last updated on 2007-07-08.