Joseph M Mattox
Family Doctor Sports Medicine Orthopaedic Surgeon
5050 N Clinton St
Fort Wayne
, Indiana 46825-5886
Joseph M Mattox
Family Doctor Sports Medicine Orthopaedic Surgeon
5050 N Clinton St
Fort Wayne
, Indiana 46825-5886
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About
Features
Specialties
- Family Doctor
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Joseph M Mattox
- 11109 Parkview Plaza Dr # 117
- Fort Wayne, IN
- Zip : 46845-1701
- Phone :
Second Address
- Joseph M Mattox
- 5050 N Clinton St
- Fort Wayne, IN
- Zip : 46825-5886
- Fax : (260) 482-5060
- Phone : (260) 484-8551
Reviews
FAQs
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In what state does Joseph M Mattox practice in?
Where is Joseph M Mattox ’s practice located?
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Is Joseph M Mattox a sole practitioner?
Is Joseph M Mattox accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01051027A | IN |
| N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 01051027A | IN |
National Provider Identifier
| NPI | 1154367944 |
|---|---|
| Provider Name | Joseph M Mattox |
| First Address | Fort Wayne, IN 46845-1701 |
| Second Address | Fort Wayne, IN 46825-5886 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2006 |
| Last Update Date | 12/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 058940033 | (02) | IN |
| 11180921 | CAQH (01) | IN |
| 185760S | (02) | IN |
| 200187520 | (05) | IN |
| H09742 | (02) | |
| P00846132 | MEDICARE RR (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.