KAAVYA REDDY MATATOVA (NPI# 1649413089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649413089 |
| Entity Type | Individual |
| Full Name | KAAVYA REDDY MATATOVA |
| Other Name | KAAVYA REDDY |
| Credential | MD |
| Practice Address |
19646 N 27th Ave Ste 201 Phoenix AZ 85027-4026 |
| Practice Telephone | 6026639371 |
| Practice Fax Number | 6024566887 |
| Mailing Telephone | 6026639371 |
| Mailing Fax Number | 6024566887 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 52218 | AZ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD.206827 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
19646 N 27TH AVE STE 201 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85027-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386167120 | Desert Surgical Specialists, Pllc | Surgery | 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | 2017-07-24 |
| 1790028876 | Ann Marie Wells Holloway | Surgery | 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | 2013-03-27 |
| 1861706855 | Benjamin Hanshaw | Surgery | 19646 N 27th Ave Ste 201, Phoenix, AZ 85027-4026 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306312 | Ashley Nicole Felipe | Registered Nurse | 25700 N 21st Ave, Phoenix, AZ 85027 | 2020-08-10 |
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1790284776 | Lydia Kuuipo Chong | Nurse Practitioner | 20414 N 27th Ave #300, Phoenix, AZ 85027 | 2018-02-06 |
| 1457867004 | Kristi Marie Mathews | Nurse Practitioner | 19829 N 29th Avenue, Phoenix, AZ 85027 | 2017-12-19 |
| 1710348362 | The Empower House, LLC | Community Based Residential Treatment Facility, Mental Illness | 18631 N. 19th Ave., Suite 158-305, Phoenix, AZ 85027 | 2016-03-10 |
| 1972979656 | Dr Daniel H Yohannes D.d.s., PC | Dentist | 602 W. Union Hills Dr, #8, Phoenix, AZ 85027 | 2015-08-17 |
| 1013346857 | Dentistry At 35th Avenu | Dentist | 18635 N 35th Avenue, Phoenix, AZ 85027 | 2013-11-02 |
| 1437592102 | Ammar Alobaidy | Psychiatry & Neurology | 21410 N 19th Ave Ste 151, Phoenix, AZ 85027 | 2013-04-12 |
| 1588900021 | Jill Elizabeth Maroscia | Social Worker | 19636 N 27th Ave #106, Phoenix, AZ 85027 | 2013-01-02 |
| 1124394515 | Sfjg Holdings LLC | Dentist | 3414 W. Union Hills Dr, Suite 12 & 14, Phoenix, AZ 85027 | 2012-03-29 |
| Find all providers in zip 85027 | ||||
| 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 |
|---|---|---|---|---|
| 1144746033 | Az Surgical Solutions | Surgery | 3724 N 3rd St Ste 302, Phoenix, AZ 85012-2034 | 2017-08-22 |
| 1184072894 | Eugene L De La Cruz Dpm PC | Surgery | 1743 W Sienna Bouquet Pl, Phoenix, AZ 85085-8040 | 2016-06-03 |
| 1164821112 | Arizona Surgical Associates, Plc | Surgery | 9305 W Thomas Rd Ste 480, Phoenix, AZ 85037-3375 | 2014-08-15 |
| 1639443096 | Joseph Patrick Kennelly | Surgery | 5941 E Lafayette Blvd, Phoenix, AZ 85018-4660 | 2012-03-02 |
| 1285927574 | Para Surgical Specialists, Pllc | Surgery | 9515 W. Camelback Rd, Suite 132, Phoenix, AZ 85037-0000 | 2011-05-19 |
| 1427347665 | Morley Rosenfield | Surgery | 3039 E Marshall Ave, Phoenix, AZ 85016-3713 | 2011-03-28 |
| 1962705889 | Richard Lance Chilian | Surgery | 2539 West Bloch Road, Phoenix, AZ 85041-2908 | 2010-12-15 |
| 1205140027 | Tracy Lynn Freeborn | Surgery | 9250 W Thomas Rd Ste 250, Phoenix, AZ 85037 | 2010-08-04 |
| 1407176126 | Martin E. Zipser | Surgery | 7320 N Dreamy Draw Dr, Phoenix, AZ 85020-5212 | 2010-06-03 |
| 1144460502 | E & J Stein Md PC | Surgery | 9502 N 46th St, Phoenix, AZ 85028-5201 | 2009-02-25 |
| Find all providers in PHOENIX | ||||
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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.