KAAVYA MATATOVA MD LLC (NPI# 1720489313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720489313 |
| Entity Type | Organization |
| Organization Name | KAAVYA MATATOVA MD LLC |
| Practice Address |
4224 Houma Blvd Suite 310 Metairie LA 70006-2933 |
| Practice Telephone | 5044546338 |
| Practice Fax Number | 5044568016 |
| Mailing Telephone | 5044546338 |
| Mailing Fax Number | 5044568016 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | DR. KAAVYA R MATATOVA (OWNER) |
| Authorized Official Telephone | 5044546338 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | LA | Allopathic & Osteopathic Physicians |
| Street Address |
4224 HOUMA BLVD SUITE 310 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182551 | Ellen B. Mclean | Pediatrics | 4224 Houma Blvd, Ste 240, Metairie, LA 70006-2935 | 2005-05-24 |
| 1255762845 | Nicole Judice Jones | Clinical Nurse Specialist | 4224 Houma Blvd, Suite 530, Metairie, LA 70006-2933 | 2013-12-06 |
| 1023445160 | Urology-medical & Surgical A Medical Corporation | Specialist | 4224 Houma Blvd, Ste 620, Metairie, LA 70006-2933 | 2013-10-03 |
| 1306100987 | Alison L Stewart, Md Apmc | Obstetrics & Gynecology | 4224 Houma Blvd, Suite 140, Metairie, LA 70006-2933 | 2012-06-28 |
| 1144587288 | Katie Elizabeth Price | Pediatrics | 4224 Houma Blvd, Metairie, LA 70006-2933 | 2012-04-13 |
| 1720352388 | Wendy V. Jamison, Md, Apmc | Neuromusculoskeletal Medicine & OMM | 4224 Houma Blvd, Suite 350, Metairie, LA 70006-2933 | 2012-02-29 |
| 1346517646 | Richard D Marino, Md Apmc | Obstetrics & Gynecology | 4224 Houma Blvd, Ste. 570, Metairie, LA 70006-2933 | 2011-11-30 |
| 1679850317 | Eugene J Hoffman IIi, Md, Apmc | Obstetrics & Gynecology | 4224 Houma Blvd, Suite 140, Metairie, LA 70006-2933 | 2011-11-09 |
| 1609167501 | Bayou Pulmonary LLC | Internal Medicine | 4224 Houma Blvd, Suite 600, Metairie, LA 70006-2933 | 2011-04-26 |
| 1811291859 | Rolston Cardiovascular Associates, LLC | Clinic/Center | 4224 Houma Blvd, Suite 450a, Metairie, LA 70006-2933 | 2011-01-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
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| 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 |
|---|---|---|---|---|
| 1215375217 | Robert L Carter | Surgery | 38 Farnham Pl, Metairie, LA 70005-4008 | 2013-06-12 |
| 1568729598 | Earl Newton Walker Iv | Surgery | 4601 Purdue Dr, Metairie, LA 70003-1256 | 2012-04-16 |
| 1801166194 | David Albert Weilbaecher | Surgery | 317 Friedrichs Ave, Metairie, LA 70005-4518 | 2012-01-04 |
| 1841580446 | John M Gordon Md A Professional Medical Corporation | Surgery | 4228 Houma Blvd Ste 220, Metairie, LA 70006-3006 | 2011-04-15 |
| 1295974483 | Pouya Dastouri | Surgery | 4541 Hastings St, Metairie, LA 70006-2819 | 2009-02-11 |
| 1104006261 | Karlin & Normand LLP | Surgery | 4224 Houma Blvd Ste 425, Metairie, LA 70006-2980 | 2007-11-06 |
| 1316036643 | Clifton Mcginness | Surgery | 3800 Houma Blvd Ste 325, Metairie, LA 70006-4184 | 2006-10-12 |
| 1942300017 | Carol Edward Foti | Surgery | 3106 Houma Blvd, Metairie, LA 70006-5406 | 2006-09-25 |
| 1528166659 | Frank P Campisi | Surgery | 2450 Severn Ave Ste 510, Metairie, LA 70001-6953 | 2006-09-20 |
| 1265480453 | Alan Stolier, Md, LLC | Surgery | 2525 Severn Ave, Metairie, LA 70002-5932 | 2006-05-04 |
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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.