Matclinic Physicians Practice Group LLC
Matclinic Physicians Practice Group LLC is a healthcare organization registered as Clinical Medical Laboratory in Dundalk, MD, holding Type 2 (organization) NPI 1063904985 since 2018. The authorized official on file is Dan Reck, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063904985 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Matclinic Physicians Practice Group LLC |
| Practice address | 40 S DUNDALK AVE STE 400, Dundalk, MD, 21222 |
| Phone | 4102200780 |
| Fax | 4108620150 |
| Enumeration date | 2018-06-06 |
| Last updated in NPPES | 2022-05-11 |
Authorized official
| Name | Dan Reck |
|---|---|
| Title | Manager |
| Phone | 4102200780 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135675501 | Medicaid | MD | — |
Copy-ready billing details
Provider: Matclinic Physicians Practice Group LLC NPI: 1063904985 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 40 S DUNDALK AVE STE 400, Dundalk, MD, 21222
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255477261 | Cathy Stanfield | Individual | Acute Care Nurse Practitioner | Dundalk, MD |
| 1255534756 | Enrique Oviedo | Individual | Psychiatry Physician | Dundalk, MD |
| 1942540083 | Lum Maximuangu | Individual | Acute Care Nurse Practitioner | Dundalk, MD |
| 1699145102 | Salina Sahle | Individual | Adult Health Nurse Practitioner | Baltimore, MD |
| 1477903714 | Kelly Maher | Individual | Professional Counselor | Dundalk, MD |
| 1104375294 | Matclinic Physicians Practice Group LLC | Organization | Addiction Medicine (Internal Medicine) Physician | Dundalk, MD |
| 1073037479 | Betty Githuku | Individual | Family Nurse Practitioner | Dundalk, MD |
| 1588171482 | Jacqueline Shea | Individual | Family Nurse Practitioner | Baltimore, MD |
Verify this record
Cross-check NPI 1063904985 against the authoritative CMS record: view Matclinic Physicians Practice Group LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Matclinic Physicians Practice Group LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-11.