Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MD Matt LLC

Organization Adult Health Nurse Practitioner · NPI 1619583200

MD Matt LLC is an Adult Health Nurse Practitioner in Frederick, Maryland. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

309 E Patrick St
Frederick, MD 21701-6792
Phone: (240) 292-1088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1619583200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Shaffer — Owner · (443) 220-6122
NPI enumeratedSeptember 18, 2020
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing address10220 S Dolfield Rd Ste 106, Owings Mills, MD 21117-3660

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