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

Matthew David Amidon, DO

Individual provider Pediatrics Physician · NPI 1164834735

Matthew David Amidon, DO is a Pediatrics Physician in Milwaukee, Wisconsin. Licensed in Illinois and Wisconsin. Registered with an NPI since 2014.

Licensed in
IL, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-3360
Fax: (414) 266-3563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 67233 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 125.064656 (IL)

Record details

NPI number1164834735
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 29, 2014
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address9000 W Wisconsin Ave, Milwaukee, WI 53226-4874

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