MEDICARE: MR. THOMAS ANTHONE TAYLOR MATROS LPN

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	164W00000X	Licensed Practical Nurse	L730901	MN

General Provider Information

NPI Number	:	1699286443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS ANTHONE TAYLOR MATROS LPN

Provider Business Mailing Address
First Line	:	710 19TH AVE N STE 300
Second Line	:
City	:	SOUTH ST PAUL
State	:	MN
Zip	:	55075-1301
Country	:	US
Telephone Number	:	651-471-9038
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 19TH AVE N STE 300
Second Line	:
City	:	SOUTH ST PAUL
State	:	MN
Zip	:	55075-1301
Country	:	US
Telephone Number	:	651-471-9038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2017
Last Update Date	:	10/19/2017

Similar Medicare Providers

1902802119 — LYNNE ZIMMERMAN PT
Practice Location Address:

724 19TH AVE N , # 100
SOUTH SAINT PAUL, MN
55075-1301

Practice Phone: 651-552-0288
Practice Fax:

1558351890 — CERENITY SENIOR CARE
Practice Location Address:

724 19TH AVE N
SOUTH ST PAUL, MN
55075-1301

Practice Phone: 651-232-6000
Practice Fax: 651-232-6111

1992753073 — SOLVEIG A HANSEN MD
Practice Location Address:

724 19TH AVE N
SOUTH ST PAUL, MN
55075-1301

Practice Phone: 651-232-6348
Practice Fax: 651-232-6127

1154362903 — KAREN M KARLINSKI MD
Practice Location Address:

724 19TH AVE N
SOUTH ST PAUL, MN
55075-1301

Practice Phone: 651-232-6348
Practice Fax: 651-232-6127

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

Directions to “ MR. THOMAS ANTHONE TAYLOR MATROS LPN” 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.