NIKOLAS MATA-MACHADO (NPI# 1295056893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295056893 |
| Entity Type | Individual |
| Full Name | NIKOLAS MATA-MACHADO |
| Credential | M.D. |
| Practice Address |
100 E 14th St Apt 801 Chicago IL 60605-3666 |
| Mailing Address |
100 E 14th St Apt 1202 Chicago IL 60605-3671 |
| Practice Telephone | 7735691822 |
| Mailing Telephone | 7183002246 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
036131814 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036131814 | 05 |
| Street Address |
100 E 14TH ST APT 801 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871661686 | Kenneth Silver | Pediatrics | 5841 S Maryland Ave Mc 3055, University of Chicago Hospitals & Clinics, Chicago, IL 60637 | 2006-12-01 |
| 1063446151 | Milford Frank Schwartz | Pediatrics | 2041 N Halsted St, Chicago, IL 60614-4371 | 2006-07-11 |
| 1407238421 | Gisela Moreira Eyng | Pediatrics | 5841 S Maryland Ave # Mc3055, Chicago, IL 60637-1447 | 2015-06-25 |
| 1740607688 | Anisa Rahman | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2014-03-27 |
| 1649320375 | Alan I. Rosenblatt | Pediatrics | 4801 W Peterson Ave, Suite 204, Chicago, IL 60646-5713 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043617137 | Catherine Wolpert Novas | Pediatrics | 280 S Green Bay Rd, Lake Forest, IL 60045-3056 | 2014-12-04 |
| 1265440663 | Pediatrics and Child Development Clinic Inc. | Pediatrics | 2575 W Algonquin Rd, Suite A, Algonquin, IL 60102-9403 | 2006-08-03 |
| 1174596225 | University of Illinois | Pediatrics | 515 Ne Glen Oak Ave, Pediatric Neurology, Peoria, IL 61603-3165 | 2006-02-09 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1346303138 | Steven B Coker, M.d., S.c. | Pediatrics | 25 N Winfield Rd, Winfield, IL 60190 | 2006-12-19 |
| 1336211457 | Abrar Arshad | Pediatrics | 565 Lakeview Pkwy, Suite 192, Vernon Hills, IL 60061-1838 | 2006-11-14 |
| 1568571479 | Ronald L Lindsay | Pediatrics | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2006-08-30 |
| 1295704468 | Blas Zelaya | Pediatrics | 515 Ne Glen Oak Ave, Pediatric Neurology #308, Peoria, IL 61603-3165 | 2006-03-17 |
| 1104895788 | Andrew Morgan | Pediatrics | 507 E Armstrong Ave, Regional Development Center, Peoria, IL 61603-3201 | 2006-03-16 |
| 1245209097 | Sally Winek | Pediatrics | 507 E Armstrong Ave, Regional Development Center, Peoria, IL 61603-3201 | 2006-03-15 |
| Find all providers with the same taxonomy | ||||
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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.