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MD Matt LLC

NPI 1962011288ActiveOrganization· Nurse Practitioner, Family· Owings Mills, MD

Nurse Practitioner, Family in Owings Mills, Maryland, registered in NPPES in July 2020. The authorized official on file is William Shaffer, Director/Owner.

Overview

NPI1962011288
StatusActive
Entity typeOrganization
NPI issuedJul 23, 2020
Last updated in NPPESApr 4, 2023
Certified by providerApr 4, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X——
Nurse Practitioner363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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