Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 20886 | MN |
N | 208200000X | Surgeon | 20886 | MN |
N | 208600000X | Surgeon | 20886 | MN |
NPI | 1306920657 |
---|---|
Provider Name | Dr. Arthur Jeremy Matas |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 26/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0977074 | (05) | IA |
1009232 | PREFERRED ONE (01) | |
101556 | UCARE (01) | |
10757 | (05) | ND |
17-00026 | MEDICA PRIMARY (01) | |
17-22560 | MEDICA CHOICE (01) | |
2099910 | (05) | OH |
2T099MA | BLUE CROSS BLUE SHIELD (01) | |
31381300 | (05) | WI |
604629 | ARAZ (01) | |
612288400 | (05) | MN |
7762290 | (05) | SD |
A95238 | (02) | |
HP22189 | HEALTH PARTNERS (01) |