DR. NATASHA VANESSA DEMATTOS


Address: 3326 4th St, Suite 6, Lewiston, ID 83501-5890
Phone: 2087462223

DR. NATASHA VANESSA DEMATTOS (NPI# 1922217678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922217678
Entity Type Individual
Full Name DR. NATASHA VANESSA DEMATTOS
Credential M.D.
Practice Address 3326 4th St
Suite 6
Lewiston
ID 83501-5890
Practice Telephone 2087462223
Mailing Telephone 2087462223
Enumeration Date 2007-05-21
Last Update Date 2016-01-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
A88166 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3326 4TH ST
SUITE 6
City LEWISTON
State ID
Zip Code 83501-5890

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154315950 Kent B. Simmons Dentist 3326 4th St, Lewiston, ID 83501-4455 2005-09-07
1487949137 Wilkinson Orthodontics Dentist 3326 4th St, Suite 5, Lewiston, ID 83501-5890 2011-06-10
1932492824 Stacy Hill Clinical Neuropsychologist 3326 4th St, Suite 6, Lewiston, ID 83501-5890 2011-05-25
1194838540 Erin Leavitt Dentist 3326 4th St, Suite 1, Lewiston, ID 83501-4455 2006-08-17
1902896772 Dentistry '4' Children Pllc Dentist 3326 4th St, Suite 4, Lewiston, ID 83501-4455 2005-10-24

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1821459496 Gem State Endoscopy Clinic/Center 3709 14th Street, Lewiston, ID 83501 2016-03-10
1508264995 Gary L. Grogan Psychologist 633 Main Street, B#1, Lewiston, ID 83501 2014-12-17
1003189366 John Joseph Johnson Dentist 3510 12th Street, Suite #600, Lewiston, ID 83501 2012-02-17
1306134077 Rowena Kathryn Jackson Counselor 531 Bryden Avenue, Lewiston, ID 83501 2011-07-15
1912290388 Staci Leanne Truby Massage Therapist 717 'd' Street, Lewiston, ID 83501 2011-05-18
1093040685 Sharie Ann Uhlorn Registered Nurse 1837 Alder Court, Lewiston, ID 83501 2009-10-15
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316090426 Affiliated Neurologists Pllc Psychiatry & Neurology 338 6th St, Suite 102, Lewiston, ID 83501-2419 2007-01-19
1174691273 Elizabeth Anne Doherty Psychiatry & Neurology 819 Hackney Ln, Lewiston, NY 14092-2053 2006-11-30
1407958994 Bradley Thomas Truax Psychiatry & Neurology 471 Fort Gray Dr, Lewiston, NY 14092-1941 2006-09-04
1639103997 Carl D Robinson Psychiatry & Neurology 99 Campus Ave Ste 402, Lewiston, ME 04240-6045 2006-07-10
1881695534 Jean K Thomas Psychiatry & Neurology 307 Saint Johns Way Ste 1, Lewiston, ID 83501-2435 2005-08-03
1730476839 Alison Claire Daigle Psychiatry & Neurology 99 Campus Ave, Suite 402, Lewiston, ME 04240-6045 2011-07-09
1033412069 Baljinder Singh Psychiatry & Neurology 5320 Military Rd, Suite 101, Lewiston, NY 14092-2149 2010-12-14
1003137050 William R. Bozarth, M.d., P.s. Psychiatry & Neurology 338 6th St, Suite 102, Lewiston, ID 83501-2419 2010-06-14
1356539415 Baljinder Singh Psychiatry & Neurology 5300 Military Rd, Lewiston, NY 14092-1903 2007-10-13
1316970254 David M Burke Psychiatry & Neurology 99 Campus Ave, Suite 402, Lewiston, ME 04240-6045 2006-07-07
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Competitor

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City LEWISTON
Zip Code 83501

Improve Information

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Dataset Information

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.

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