DR. LOUIS DEMBRUN MATHERNE IV (NPI# 1346534849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346534849 |
| Entity Type | Individual |
| Full Name | DR. LOUIS DEMBRUN MATHERNE IV |
| Credential | M.D. |
| Practice Address |
4211 Van Dyke Rd Ste 200 Lutz FL 33558-8005 |
| Mailing Address |
2995 Drew St Fl 2 Clearwater FL 33759-3012 |
| Practice Telephone | 8132646490 |
| Practice Fax Number | 8134438143 |
| Mailing Telephone | 7275321355 |
| Mailing Fax Number | 8136352613 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME141420 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 51640 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104739400 | 05 |
| Street Address |
4211 VAN DYKE RD STE 200 |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356517395 | Assem Sherieh | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2008-04-30 |
| 1457885618 | Ashik Kirit Soni | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2017-04-14 |
| 1336685395 | Stephanie Lynn Wilson | Nurse Practitioner | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2017-01-16 |
| 1346699287 | Aysha Ahmed | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2016-06-10 |
| 1891144051 | Austin T Smith | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2016-06-08 |
| 1245694926 | Stephanie Desouza | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2016-04-08 |
| 1588033831 | Nicole Renee Drago | Nurse Practitioner | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2015-09-16 |
| 1700228921 | Lindsey Dambly Sperry | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2013-07-30 |
| 1184917098 | Sai C Oruganti | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2011-05-25 |
| 1174753669 | Pavel Capote | Internal Medicine | 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | 2009-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932508280 | Finer You Pa | Surgery | 23110 State Road 54 # 293, Lutz, FL 33549-6933 | 2014-08-21 |
| 1023291705 | Malek A Kanama | Surgery | 19105 Us Hwy 41 North, Suite 300, Lutz, FL 33549-4206 | 2007-12-17 |
| 1427259837 | Alen Babakhani | Surgery | 19105 Us 41 North, Suite 300, Lutz, FL 33549 | 2007-05-31 |
| 1720202823 | Desai Surgical Care | Surgery | 19105 N Us Highway 41, Suite 300, Lutz, FL 33549-4206 | 2007-04-12 |
| 1356344246 | Bill E Barry | Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2005-05-24 |
| 1710277249 | Brett A Armstrong | Surgery | 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 | 2011-04-18 |
| 1598054306 | Coast Surgical Group Pllc | Surgery | 19105 N Us Highway 41, Suite 300, Lutz, FL 33549-4206 | 2011-04-01 |
| 1326273947 | Andres Vidovich-ortiz | Surgery | 19105 N Us Highway 41, Suite 300, Lutz, FL 33549-4206 | 2009-05-27 |
| 1841487857 | Koji Honda | Surgery | 19105 N Us Highway 41, Suite 300, Lutz, FL 33549-4206 | 2007-10-03 |
| 1023041126 | Quan Dinh Tran | Surgery | 4211 Vandyke Road, Suite 200, Lutz, FL 33558-8004 | 2006-07-09 |
| Find all providers in LUTZ | ||||
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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.