ANTHONY M MATTERA DO
NPI 1013909068
Family Medicine, Geriatric Medicine in Dyer,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 16, 2005

Contact Information

732 Royal Dublin Ln
Dyer,
Post Code: 46311
Phone: (219) 864-2235
Fax: (219) 365-1398

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Anthony M Mattera Do in Dyer - Family Medicine, Geriatric Medicine

Anthony M Mattera Do is a Family Medicine, Geriatric Medicine in Dyer, . Anthony M Mattera Do practices all healthcare services and medical treatments related to Family Medicine, Geriatric Medicine. The NPI Number for Anthony M Mattera Do is 1013909068. The last update date is 2021-01-20.

Anthony M Mattera Do's current location address is 732 Royal Dublin Ln, Dyer, . You can contact this provider via phone number (219) 864-2235 and fax number (219) 365-1398. The mailing address for Anthony M Mattera Do is 732 Royal Dublin Ln, Dyer, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1013909068
Provider Name
ANTHONY M MATTERA DO
Gender
Male
Entity Type
Individual
Location Address
732 Royal Dublin Ln, Dyer,
Location Phone
(219) 864-2235
Location Fax
(219) 365-1398
Mailing Address
732 Royal Dublin Ln, Dyer, Indiana(IN)
Mailing Phone
708-705-0123
Mailing Fax
219-227-9077
Enumeration Date
2005-08-16
Last Update Date
2021-01-20
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine, Geriatric Medicine

Taxonomy Code
207QG0300X
Type
-
License No.
02000262
License State
Indiana (IN)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 207QG0300X Geriatric Medicine (Family Medicine) Physician

Family Medicine, Geriatric Medicine

036039136 (Illinois)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036039136 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013909068
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202318018012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 202318018012
2 + 0 + 2 + 3 + 1 + 8 + 0 + 1 + 8 + 0 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1013909068 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013908904 MARION ANESTHESIOLOGY, PC
Organization
Anesthesiology PO BOX 6069
INDIANAPOLIS, Indiana (IN)
317-802-6312
1013907922 AMBUCARE CLINIC
Organization
Family Medicine 3387 S US HIGHWAY 41
TERRE HAUTE, Indiana (IN)
812-232-5532
1013907781 ROBERT G. CREDI
Individual
Surgery 621 MEMORIAL DR STE 502
SOUTH BEND, Indiana (IN)
574-647-5875
1013907500 THOMAS M RUEDIGER
Individual
Physical Therapist, Electrophysiology, Clinical 11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, Indiana (IN)
260-266-7400
1013906296 DANIEL J DWYER
Individual
Family Medicine 111 W HIGH ST
ROCKVILLE, Indiana (IN)
765-569-2057