Matis Dermatology, PC
NPI 1790016434ActiveOrganization· Dermatology· Salt Lake City, UT
Dermatology in Salt Lake City, Utah, registered in NPPES in January 2010. The authorized official on file is Wendy Matis, M.D., Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790016434 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2010 |
| Last updated in NPPES | Jan 20, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 185450-1205 | UT |
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) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
Other Dermatology providers in Salt Lake City
- 1922096114
- 1548680184
- 1639652308
- 1902668171
- 1689943219
- 1548003577
- 1669059713
- 1710565650
- 1972952695
- 1003313107
- 1952925455
- 1437175825