Healthcare Provider Details

I. General information

NPI: 1316209828
Provider Name (Legal Business Name): MATTHEW W. CERNIGLIA, DPM, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2012
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 TOWNE CT
SAGINAW TX
76179-1279
US

IV. Provider business mailing address

816 TOWNE CT
SAGINAW TX
76179-1279
US

V. Phone/Fax

Practice location:
  • Phone: 817-847-8500
  • Fax: 817-847-8522
Mailing address:
  • Phone: 817-847-8500
  • Fax: 817-847-8522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW W CERNIGLIA
Title or Position: PRESIDENT
Credential: DPM
Phone: 817-847-8500