MRS. TANIA MILAD MATTA (NPI# 1922027168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922027168 |
| Entity Type | Individual |
| Full Name | MRS. TANIA MILAD MATTA |
| Credential | MD |
| Practice Address |
3950 Keene Road West Richland WA 99353 |
| Mailing Address |
3900 S Zintel Way Kennewick WA 99338 |
| Practice Telephone | 5099423130 |
| Practice Fax Number | 5096288335 |
| Mailing Telephone | 5099423627 |
| Mailing Fax Number | 5099422268 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD00048517 | WA | Allopathic & Osteopathic Physicians |
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
01060593 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200527760 | 05 | |
| WA | 8493512 | 05 |
| Street Address |
3950 KEENE ROAD |
| City | WEST RICHLAND |
| State | WA |
| Zip Code | 99353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395263 | Pivotal Movement Experts, Pllc | Clinic/Center | 4033 West Van Giesen St., Unit #c, West Richland, WA 99353 | 2020-01-09 |
| 1700263340 | Nathan Jarvis | Physical Therapist | 6489 Mineral St., West Richland, WA 99353 | 2015-05-04 |
| 1245484781 | Ryan Kirk Law | Family Medicine | 3950 Keene Rd., West Richland, WA 99353 | 2008-11-11 |
| 1255474144 | John Christian Olsen | Chiropractor | 4034 W. Van Giesen Street, Suite E, West Richland, WA 99353 | 2007-02-14 |
| 1043357247 | Robert Harvey Perkes | Chiropractor | 4791 W. Van Giesen St, Suite B, West Richland, WA 99353 | 2007-01-30 |
| 1144317405 | Dana Margaret Watts | Pharmacist | 1401 Bombing Range, West Richland, WA 99353 | 2006-10-06 |
| 1205887197 | Yokes Foods, Inc | Pharmacist | 1401 Bombing Range Rd, West Richland, WA 99353 | 2006-05-15 |
| 1821513177 | Yeo Young Yoon | Nurse Practitioner | 3950 Keene Rd, West Richland, WA 99353 | 2017-08-08 |
| 1164845137 | Katherine Schwartz Slettvet | Nurse Practitioner | 3950 Keene Rd, West Richland, WA 99353 | 2014-01-28 |
| 1386071264 | Mamie Choy Mitscha | Registered Nurse | 3950 Keene Rd, West Richland, WA 99353 | 2013-10-09 |
| Find all providers in zip 99353 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498280 | Rainier Pediatrics, Inc | Pediatrics | 12904 94th Ave E, Puyallup, WA 98373-5538 | 2014-05-05 |
| 1568675544 | Robert Michael Lehman | Pediatrics | 1545 Nw 57th St, #522, Seattle, WA 98107-5643 | 2007-05-07 |
| 1134343676 | Michael Donlan | Pediatrics | 7103 N Skyline Dr, Spokane, WA 99208-6717 | 2007-04-13 |
| 1508927062 | David Alan Springer | Pediatrics | 4005 Wallingford Ave N, Seattle, WA 98103-8218 | 2006-12-12 |
| 1730247073 | Mohinder Singh Badyal | Pediatrics | 32124 1st Ave S, Ste100, Federal Way, WA 98003-5761 | 2006-12-05 |
| 1396813218 | Penny Russell Tronolone | Pediatrics | Echo Glen Children's Center, 33010 Se 99th St, Snoqualmie, WA 98065 | 2006-11-30 |
| 1164508792 | Deborah J Ayars | Pediatrics | 1901 S Union Ave Ste B1010, Tacoma, WA 98405-1801 | 2006-10-27 |
| 1629025333 | Public Hospital District #1 of King County | Pediatrics | 6920 Coal Creek Pkwy Se, Ste 12, Newcastle, WA 98059-3147 | 2006-05-28 |
| 1861468720 | Gina Suzanne Sucato | Pediatrics | 13451 Se 36th St, Bellevue, WA 98006-1475 | 2006-02-28 |
| 1083605778 | Daryl William Linnell | Pediatrics | 784 14th Ave, Longview, WA 98632-2315 | 2005-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST RICHLAND |
| Zip Code | 99353 |
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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.