Futvoye, Matthew Cassedy

Futvoye, Matthew Cassedy is an individual health care provider with primary practice located at 104 Burney Dr , Flowood MS 39232-6621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Futvoye, Matthew Cassedy can be contacted via phone (601) 987-8200.

Contact Information

Primary practice address
104 Burney Dr Flowood MS 39232-6621
Phone: (601) 987-8200
Fax: (601) 987-8211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 2011W244 Mississippi
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 47283 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X AU5009697-1056 Mississippi

Profile Details

NPI number 1124221601
LBN Legal business name Futvoye, Matthew Cassedy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Sep 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124221601 NPPES
Mississippi MEDICAID 09481205

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