DR. ANTHONY A. MATALAVAGE (NPI# 1295842334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295842334 |
Entity Type | Individual |
Full Name | DR. ANTHONY A. MATALAVAGE |
Credential | D.P.M. |
Practice Address |
12301 Snow Rd Parma OH 44130-1002 |
Mailing Address |
1001 Lakeside Ave E #1200 Cleveland OH 44114-1158 |
Practice Telephone | 2165247377 |
Practice Fax Number | 2162654331 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2016-08-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
36002679 | OH | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0979008 | 05 |
Street Address |
12301 SNOW RD |
City | PARMA |
State | OH |
Zip Code | 44130-1002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952305781 | Thomas E Rench | Emergency Medicine | 12301 Snow Rd, Parma, OH 44130-1002 | 2005-06-09 |
1417423625 | Jessica Jo Kurtz | Nurse Practitioner | 12301 Snow Rd, Parma, OH 44130-1002 | 2018-10-16 |
1427538081 | Brittany Elyse Kohn | Physical Medicine & Rehabilitation | 12301 Snow Rd, Parma, OH 44130-1002 | 2018-08-14 |
1275031924 | Tina Kenney | Counselor | 12301 Snow Rd, Parma, OH 44130-1002 | 2018-01-29 |
1669991725 | Sarah Elizabeth Benuska | Psychologist | 12301 Snow Rd, Parma, OH 44130-1002 | 2017-09-10 |
1255787867 | Metrohealth System | Clinic/Center | 12301 Snow Rd, Metrohealth System Parma Ambulatory Surgical Center, Parma, OH 44130-1002 | 2016-05-12 |
1053772715 | Metrohealth System | Pharmacy | 12301 Snow Rd, Parma, OH 44130-1002 | 2016-03-09 |
1215349634 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 12301 Snow Rd, Parma, OH 44130-1002 | 2014-05-21 |
1003242850 | Healthspan Integrated Care | Clinic/Center | 12301 Snow Rd, Parma, OH 44130-1002 | 2013-09-24 |
1992130512 | Healthspan Integrated Care | Clinical Medical Laboratory | 12301 Snow Rd, Parma, OH 44130-1002 | 2013-09-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
Find all providers in zip 44130 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023412038 | Jeffrey S. Wunning, Dpm, LLC. | Podiatrist | 950 Forestbrook Ln, Painesville, OH 44077-7604 | 2014-10-20 |
1437420486 | Charlene Roberta Krejci-simmons | Podiatrist | 945 Lake Ave, Aurora, OH 44202-8712 | 2012-01-23 |
1063719698 | Foot & Ankle Health Specialties | Podiatrist | 6336 Blue Heron Lane, Columbus, OH 43230-6434 | 2011-02-17 |
1124330949 | Sarah Beth Newey | Podiatrist | 3451 Granger Rd, Akron, OH 44333-1532 | 2010-07-09 |
1942492004 | Buckeye Foot & Ankle LLC | Podiatrist | 970 E Us Highway 36, Suite B, Urbana, OH 43078-1891 | 2007-08-13 |
1932307642 | S. Jeffrey Ali | Podiatrist | 1248 Webb Rd, Lakewood, OH 44107-2230 | 2007-07-03 |
1255535472 | Dinko Hajdukovic | Podiatrist | 38859 Sunset Trl, Willoughby, OH 44094-7223 | 2007-06-12 |
1609095389 | Rudolph V Mccomb Jr. | Podiatrist | 1933 E Dublin Granville Rd, Ste 216, Columbus, OH 43229-3508 | 2007-04-24 |
1326107392 | Heather P Grant | Podiatrist | 1901 Upper Chelsea Rd, Columbus, OH 43212-1941 | 2006-12-06 |
1952484958 | Corrigan Podiatry Group | Podiatrist | 28687 Center Ridge Rd, Westlake, OH 44145-3810 | 2006-10-23 |
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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.