MD Matt LLC
NPI 1508493180ActiveOrganization· Nurse Practitioner, Family· Glen Burnie, MD
Nurse Practitioner, Family in Glen Burnie, Maryland, registered in NPPES in March 2020. The authorized official on file is William Shaffer, Director.
Overview
| NPI | 1508493180 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2020 |
| Last updated in NPPES | Mar 24, 2020 |
| Certified by provider | Mar 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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