ANNABELLE M MATIAS (NPI# 1194709725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194709725 |
| Entity Type | Individual |
| Full Name | ANNABELLE M MATIAS |
| Credential | M.D. |
| Practice Address |
1689 Eagle Harbor Pkwy E Suite A Orange Park FL 32003-4817 |
| Practice Telephone | 9042691366 |
| Practice Fax Number | 9042649750 |
| Mailing Telephone | 9042691366 |
| Mailing Fax Number | 9042649750 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2012-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME87828 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267354100 | 05 |
| Street Address |
1689 EAGLE HARBOR PKWY E SUITE A |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32003-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315875 | Naja R Naddaf | Internal Medicine | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2005-12-06 |
| 1356651293 | Hospital Physicians of N.e. Florida LLC | Internal Medicine | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2010-10-13 |
| 1114249042 | John M. Flinchbaugh D.o., P.l. | Orthopaedic Surgery | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2010-02-19 |
| 1205163615 | John M Flinchbaugh | Orthopaedic Surgery | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2009-11-05 |
| 1508093873 | Stephanie C Wilder | Physician Assistant | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2009-06-15 |
| 1578572236 | Anne H Witt | Nurse Practitioner | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2006-08-05 |
| 1346214277 | William Javier Davila | Internal Medicine | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2006-02-15 |
| 1467436097 | Lionel J Gatien Do Pa | Internal Medicine | 1689 Eagle Harbor Pkwy E, Suite A, Orange Park, FL 32003-4817 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649758012 | Pruitthealth - Fleming Island, LLC | Skilled Nursing Facility | 2040 Town Center Boulevard, Fleming Island, FL 32003 | 2018-07-30 |
| 1841733904 | Linda Giacobbe | Community/Behavioral Health | 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 | 2016-11-22 |
| 1538515796 | Kelly Standish | Dentist | 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 | 2016-05-06 |
| 1396119301 | Emily Benn | Physical Therapist | 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 | 2015-11-16 |
| 1467834929 | Sherrye Frady | Nurse Practitioner | 1915 East West Pkwy #2, Fleming Island, FL 32003 | 2015-06-22 |
| 1023497658 | Musa Medical Supplies | Durable Medical Equipment & Medical Supplies | 1915 Eastwest Parkway, Fleming Island, FL 32003 | 2015-05-28 |
| 1093125676 | Stephen Gibbs | Orthopaedic Surgery | 4689 Highway 17, Suite 11, Fleming Island, FL 32003 | 2014-05-05 |
| 1033555198 | Lillie Elaine Switanek | Social Worker | 1 743 Cr 220, Fleming Island, FL 32003 | 2013-05-16 |
| 1003188475 | Comfortable Care Dental Health Professionals | Dentist | 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 | 2012-02-01 |
| 1285901488 | Lynzie Lane Cammilleri | Pharmacist | 1565 Doctor's Inlet, Orange Park, FL 32003 | 2011-11-17 |
| Find all providers in zip 32003 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235418286 | Antoinette N. Koe M.d, P.a | Internal Medicine | 1543 Kingsley Ave Ste 12, Orange Park, FL 32073-4544 | 2011-08-09 |
| 1184917627 | Robert Emmet Frank | Internal Medicine | 1590 Island Ln Ste 1, Orange Park, FL 32003-4407 | 2011-05-17 |
| 1235326844 | Markus Sonntag Md | Internal Medicine | 2035 Professional Center Dr Ste C, Orange Park, FL 32073-4462 | 2007-09-27 |
| 1255542262 | Vishal Chandubhai Patel | Internal Medicine | 904 Park Ave, Orange Park, FL 32073-4120 | 2007-05-24 |
| 1609091081 | Robert Koe | Internal Medicine | 1543 Kingsley Avenue, Building #12, Orange Park, FL 32073 | 2007-04-13 |
| 1245390723 | Nilmarie Guzman | Internal Medicine | 2021 Professional Center Dr Ste 100, Orange Park, FL 32073-4461 | 2006-12-12 |
| 1639258221 | Jeffrey Bruce Chesler I | Internal Medicine | 1406 Kingsley Ave Ste D, Orange Park, FL 32073-4528 | 2006-11-03 |
| 1689785198 | William Lanier Pearce | Internal Medicine | 3437 Mainard Branch Ct, Orange Park, FL 32003-4700 | 2006-08-31 |
| 1770511412 | James M Porcelli | Internal Medicine | 20 Blanding Blvd, Orange Park, FL 32073-2235 | 2006-06-29 |
| 1568429769 | Douglas Michael Tew | Internal Medicine | 2035 Professional Ctr Dr, Suite C, Orange Park, FL 32073 | 2006-05-01 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32003 |
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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.