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

Dr. Thomas J Matzke

Individual provider Dermatology Physician · NPI 1639121304

Dr. Thomas J Matzke is a Dermatology in Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2001, 25 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
25
Trained at
University of North Dakota School of Medicine
Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

4656 40th Ave S
Fargo, ND 58104-4397
Phone: (701) 234-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 10119 (ND)
Dermatology Physician Taxonomy 207N00000X · Licence 45261 (MN)

Record details

NPI number1639121304
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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