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NPI Code Detail

MEDICARE: BARBARA ANN MATAKEVICH DO

MEDICARE:   BARBARA ANN MATAKEVICH  DO
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
1207V00000XObstetrics & Gynecology Physician02001555AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285624429
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ANN MATAKEVICH DO
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13000 E 136TH ST
Second Line :
City : FISHERS
State : IN
Zip : 46037-9478
Country : US
Telephone Number : 317-329-7022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 01/02/2026

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Directions to “ BARBARA ANN MATAKEVICH DO” Practice Location

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