MATTIA ROSSO (NPI# 1629687843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629687843 |
| Entity Type | Individual |
| Full Name | MATTIA ROSSO |
| Credential | MD |
| Practice Address |
96 Jonathan Lucas St Charleston SC 29425-8900 |
| Mailing Address |
363 King St Apt F Charleston SC 29401-1447 |
| Practice Telephone | 8434942854 |
| Mailing Telephone | 8434942854 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
LL84470 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
96 JONATHAN LUCAS ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933193 | Emmie Elizabeth Steadman | Nurse Practitioner | 96 Jonathan Lucas St, Suite 424, Charleston, SC 29425-8900 | 2005-12-15 |
| 1962049429 | Christina Marie Thomas | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8911 | 2019-12-04 |
| 1467094920 | Farah Flaitz Stokes | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-10-16 |
| 1518526565 | Emily Katherine Depue | Physician Assistant | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-06-12 |
| 1093374621 | Anna Y Bashmakov | Psychiatry & Neurology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-06-07 |
| 1396309951 | Amanda Marie Jones | Physician Assistant | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-04-29 |
| 1053872150 | Elizabeth Bunch Wachowicz | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-03-29 |
| 1689135865 | Annemarie Leveen Roncancio | Nurse Practitioner | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2019-03-28 |
| 1548746803 | Ismail Mikdat Kabakus | Radiology | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2018-07-19 |
| 1790270593 | Shaurya Prakash | Internal Medicine | 96 Jonathan Lucas St, Charleston, SC 29425-8900 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801454830 | Mark Joshua Rosenberg | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301, Msc 606, Charleston, SC 29425-0001 | 2019-06-04 |
| 1952896789 | Lauren Crawford | Psychiatry & Neurology | 96 Jonathan Street Suite 301, Charleston, SC 29425-0001 | 2018-06-25 |
| 1457881674 | Alexandra Parashos | Psychiatry & Neurology | 96 Jonathan Lucas St # 301, Charleston, SC 29425-8900 | 2017-06-20 |
| 1750811089 | Radiant Neuromonitoring LLC | Psychiatry & Neurology | 101 Lawson Dr # 104, Charleston, SC 29404-2121 | 2017-06-19 |
| 1750720124 | Colin Mcleod | Psychiatry & Neurology | 96 Jonathan Lucas St Csb 301 Msc 606, Charleston, SC 29425-3833 | 2013-06-19 |
| 1265784409 | James Thorolf Peveler Jr. | Psychiatry & Neurology | 3086 Moonlight Dr, Charleston, SC 29414-8047 | 2012-10-11 |
| 1053670414 | Muhammad Taimoor Khan | Psychiatry & Neurology | 415 Morris St Ste 300, Charleston, WV 25301-1853 | 2012-05-04 |
| 1366769986 | James Philip Battista | Psychiatry & Neurology | 96 Jonathan Lucas St Ste 301, Charleston, SC 29425-5703 | 2010-04-21 |
| 1861571887 | Hamid Reza Bahadori | Psychiatry & Neurology | 3531 Mary Ader Ave Ste A, Charleston, SC 29414-5896 | 2006-11-02 |
| 1316026347 | Nicole Elizabeth Winston | Psychiatry & Neurology | 96 Jonathan Lucas St Ste 309, Charleston, SC 29425-8900 | 2006-11-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.