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NPI Code Detail

MEDICARE: DR. MATTHEW JOHN PTASZKIEWICZ M. D.

MEDICARE:  DR. MATTHEW JOHN PTASZKIEWICZ  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
1207Q00000XFamily Medicine Physician49467CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00970417OTHERCOMEDICARE RAILROAD

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 : 1952367880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW JOHN PTASZKIEWICZ M. D.
Provider Business Mailing Address
First Line : 1683 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-7921
Country : US
Telephone Number : 970-400-7618
Fax Number : 970-823-9007
Provider Business Practice Location Address
First Line : 1683 MAIN ST
Second Line :
City : WINDSOR
State : CO
Zip : 80550-7921
Country : US
Telephone Number : 970-400-7618
Fax Number : 970-823-9007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 02/03/2026

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Directions to “ DR. MATTHEW JOHN PTASZKIEWICZ M. D.” Practice Location

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