MATTHEW VIGLIANTI (NPI# 1013312396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013312396 |
| Entity Type | Individual |
| Full Name | MATTHEW VIGLIANTI |
| Credential | PA-C |
| Practice Address |
480 Hawthorn St North Dartmouth MA 02747-3729 |
| Mailing Address |
200 Mill Rd Suite 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5089739150 |
| Practice Fax Number | 5089739155 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA5195 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
480 HAWTHORN ST |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip Code | 02747-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356902761 | Jessica Lynn Keough | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2019-06-26 |
| 1144766312 | Arielle Spadea | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2017-01-12 |
| 1992251078 | Dayana Nanda Laxshman Siriwardhana | Registered Nurse | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2016-08-29 |
| 1396104956 | Tina L Howe | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2016-02-11 |
| 1407234131 | Katelyn Oliveira | Psychiatry & Neurology | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2015-05-14 |
| 1407262694 | Praneetha Arge | Psychiatry & Neurology | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2014-07-08 |
| 1669897823 | John Joseph Mullen IIi | Specialist/Technologist | 480 Hawthorn St, Brain and Spine Center, North Dartmouth, MA 02747-3713 | 2014-02-25 |
| 1063751923 | Selena Marie Machia | Physician Assistant | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2013-02-12 |
| 1427392034 | Michael James Carr | Nurse Practitioner | 480 Hawthorn St, Southcoast Physicians Group, Inc., North Dartmouth, MA 02747-3713 | 2012-11-20 |
| 1053662833 | Lori Anne Oliver | Nurse Practitioner | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245619972 | Devin Lynde Bean | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2015-05-27 |
| 1497804397 | Gregory William Pierce | Physician Assistant | 480 Hawthorn St, North Dartmouth, MA 02747-3729 | 2007-01-09 |
| 1760586440 | Mark David Barros | Physician Assistant | 300a Faunce Corner Rd, North Dartmouth, MA 02747-1280 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.