DR. LUIS ANGEL MATOS (NPI# 1972506509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972506509 |
| Entity Type | Individual |
| Full Name | DR. LUIS ANGEL MATOS |
| Credential | M.D., MBA |
| Practice Address |
1019a Vista Park Dr Forest VA 24551-4901 |
| Mailing Address |
Po Box 13103 Roanoke VA 24031-3103 |
| Practice Telephone | 4345150419 |
| Practice Fax Number | 8446939305 |
| Mailing Telephone | 4342520026 |
| Mailing Fax Number | 8446939305 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
0101056392 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101056392 | VA | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
0101056392 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5804426 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225689854 | Luis Matos | Physical Therapy Assistant | 4666 Fountains Dr S, Lake Worth, FL 33467-5064 | 2019-09-25 |
| 1295850139 | Luis Matos | General Practice | Apartado 331 Ave. Emiliano Poll, San Juan, PR 00926 | 2007-03-20 |
| 1770093999 | Luis R Matos | Social Worker | 8808 Liberty Ave, Ozone Park, NY 11417-1329 | 2017-10-02 |
| 1619295771 | Luis A Matos | Dentist | 175 Toney Penna Dr, Jupiter, FL 33458-5755 | 2010-05-12 |
| 1407812761 | Luis A. Matos | Preventive Medicine | 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 | 2006-04-25 |
| Street Address |
1019A VISTA PARK DR |
| City | FOREST |
| State | VA |
| Zip Code | 24551-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689119646 | Indwell Health and Wellness.llc | Pediatrics | 1019a Vista Park Dr, Forest, VA 24551-4901 | 2016-12-30 |
| 1356893879 | Virginia Neurospine PC | Neurological Surgery | 1019a Vista Park Dr, Forest, VA 24551-4901 | 2016-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610682 | Kaufman Allergy Asthma and Immunology, Pllc | Allergy & Immunology | 8320 Old Courthouse Rd Ste 310, Vienna, VA 22182-3831 | 2020-08-23 |
| 1962862672 | Fame Allergy, PC | Allergy & Immunology | 1002 Apperson Dr, Salem, VA 24153-7133 | 2016-02-24 |
| 1346423381 | Vickie Kyuran Lee | Allergy & Immunology | 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 | 2007-12-13 |
| 1871619452 | Allergy, Asthma and Sinus Center of Central Virginia | Allergy & Immunology | 3701 Boulevard Ste H, Colonial Heights, VA 23834-1339 | 2007-03-22 |
| 1053436451 | Hassan Mohagheghi | Allergy & Immunology | 3701 Boulevard, Suite H, Colonial Heights, VA 23834-1339 | 2007-03-21 |
| 1548340748 | Laura Ispas | Allergy & Immunology | 19455 Deerfield Ave Ste 207, Leesburg, VA 20176-8102 | 2006-10-16 |
| 1811092414 | Manuel Guillen | Allergy & Immunology | 101 34 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1871515296 | Albert L. Huber | Allergy & Immunology | 910 E High St, Charlottesville, VA 22902-4850 | 2006-07-24 |
| 1659302560 | Murali Dharan Sharath | Allergy & Immunology | 4534 Bonney Rd, Suite B, Virginia Beach, VA 23462-3873 | 2006-07-06 |
| 1932130531 | Kimberly C George | Allergy & Immunology | 201 Concourse Blvd, Ste 100, Glen Allen, VA 23059-5640 | 2006-07-05 |
| Find all providers with the same taxonomy | ||||
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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.