MEDICARE: TED K MATUSZEWSKI MD PROF CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	6674	NV

General Provider Information

NPI Number	:	1558676106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TED K MATUSZEWSKI MD PROF CORP

Provider Business Mailing Address
First Line	:	4095 N CARSON ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-1936
Country	:	US
Telephone Number	:	775-885-9911
Fax Number	:

Provider Business Practice Location Address
First Line	:	4095 N CARSON ST
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89706-1936
Country	:	US
Telephone Number	:	775-885-9911
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TED K MATUSZEWSKI
Credential	:	MD
Telephone Number	:	775-885-9911

Provider Enumeration Date	:	08/06/2010
Last Update Date	:	02/16/2011

Similar Medicare Providers

1114813417 — MICHELE MARIA STEVANOVICH FNP-C
Practice Location Address:

4095 N CARSON ST
CARSON CITY, NV
89706-1936

Practice Phone: 775-224-5172
Practice Fax: 775-885-2785

1821537796 — JULIA SONG COTA/L
Practice Location Address:

21817 FIGUEROA ST UNIT 2
CARSON, CA
90745-1936

Practice Phone: 818-913-5696
Practice Fax:

1639163975 — NEUROSKELETAL IMAGING LLC
Practice Location Address:

709 S HARBOR CITY BLVD STE 100
MELBOURNE, FL
32901-1936

Practice Phone: 321-409-9990
Practice Fax:

1295720290 — COUNTY OF GRAHAM
Practice Location Address:

722 W MAIN ST
HILL CITY, KS
67642-1936

Practice Phone: 785-421-3455
Practice Fax: 785-421-3473

1588747471 — PHILLIP HARDY NUNNERY M D
Practice Location Address:

1936 JENKS AVE
PANAMA CITY, FL
32405-4528

Practice Phone: 850-763-5959
Practice Fax: 850-785-0574

1942361365 — DR. GARY LYNN RIDDLE DDS
Practice Location Address:

1420 MAIN ST
SCOTT CITY, MO
63780-1936

Practice Phone: 573-264-2020
Practice Fax: 573-264-2678

Directions to “TED K MATUSZEWSKI MD PROF CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.