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NPI Code Detail

MEDICARE: MATTHEW B CAREY M.D.

MEDICARE: MATTHEW B CAREY M.D.
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
12084P0800XPsychiatry Physician04-33097KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110661023OTHERKSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629287479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW B CAREY M.D.
Provider Business Mailing Address
First Line : 325 MAINE STREET
Second Line : MSO LIBRARY
City : LAWRENCE
State : KS
Zip : 66049-7700
Country : US
Telephone Number : 785-505-2988
Fax Number : 785-505-5228
Provider Business Practice Location Address
First Line : 4525 W 6TH ST STE 100
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-7700
Country : US
Telephone Number : 785-505-5160
Fax Number : 785-505-5282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 04/18/2024

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