MRS. MICHELLE M MATARESE (NPI# 1316044266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316044266 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE M MATARESE |
| Credential | PA-C |
| Practice Address |
200 S Herlong Ave Ste B Rock Hill SC 29732-1182 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 8033241950 |
| Practice Fax Number | 8033241933 |
| Mailing Telephone | 7043165100 |
| Mailing Fax Number | 7043165101 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | TL2930 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1463 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-01206 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1316044266 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 197 Piedmont Blvd Ste 100, Rock Hill, SC 297321824 | 8033241950 | 8033241933 |
| 200 S Herlong Ave Ste B, Rock Hill, SC 297321182 | 8033241950 | 8033241933 |
| 301 Hawthorne Ln, Suite 200, Charlotte, NC 282042450 | 7043165100 | 7043165101 |
| Street Address |
200 S HERLONG AVE STE B |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114900826 | Barry B.k. Chan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 S Herlong Ave Ste B, Rock Hill, SC 29732 | 2005-11-28 |
| 1194248286 | Melanie Marie Bucciarelli | Nurse Practitioner | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2017-07-20 |
| 1760899009 | Melissa Pacello | Nurse Practitioner | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2014-07-18 |
| 1417209610 | Michael Collins Hadley | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2012-10-11 |
| 1508189184 | Jennifer Graham Gainer | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2010-03-10 |
| 1164756102 | Heather Nicole Hale | Physician Assistant | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2009-09-23 |
| 1346478153 | Djeunou Tchamba | Internal Medicine | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2009-06-30 |
| 1568408623 | Peter K Zakow | Surgery | 200 S Herlong Ave Ste B, Rock Hill, SC 29732-1182 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861236 | Staci Ernandez Polk | Physician Assistant | 2753 Fire Tower Rd, Rock Hill, SC 29730-9008 | 2020-01-29 |
| 1891210712 | Paris A Robinson | Physician Assistant | 225 S Herlong Ave Ste 201, Rock Hill, SC 29732-2168 | 2017-08-11 |
| 1790838621 | Kelly G Svedberg | Physician Assistant | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2007-01-22 |
| 1669559332 | James P Vert | Physician Assistant | 1131 Saluda St., Rock Hill, SC 29731-6028 | 2006-11-01 |
| 1265512966 | Michael T Leddy | Physician Assistant | 200 S Herlong Ave Ste H, Rock Hill, SC 29732-1182 | 2006-10-17 |
| 1376558007 | Mark A Giarrizzi | Physician Assistant | 760 Addison Ave, Rock Hill, SC 29730 | 2006-07-30 |
| 1578547949 | Matthew Thomas David | Physician Assistant | 2893 Sturgis Rd, Rock Hill, SC 29730-6607 | 2005-11-30 |
| 1336148675 | Neil Townsend Scott | Physician Assistant | 222 S Herlong Ave, Rock Hill, SC 29732-1158 | 2005-07-19 |
| 1821097510 | Joshua Jeremiah Beardsley | Physician Assistant | 200 S Herlong Ave, Suite B, Rock Hill, SC 29732-3399 | 2005-07-15 |
| 1730708868 | Mind Wellness Center | Physician Assistant | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-04-09 |
| Find all providers in ROCK HILL | ||||
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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.