Mahendra K Matta (NPI# 1518936814, PAC ID# 8628961711) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
Nation Provider ID (NPI) | 1518936814 |
PAC ID by PECOS | 8628961711 |
Professional Enrollment ID | I20090807000034 |
Full Name | Mahendra K Matta |
Address |
447 Nilles Rd Suite 3 Fairfield OH 45014-2626 |
Gender | M |
Graduation Year | 1970 |
Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360362 | TRIHEALTH EVENDALE HOSPITAL |
360056 | MERCY HOSPITAL FAIRFIELD |
360179 | BETHESDA NORTH |
Address | Phone | Organization |
---|---|---|
10496 Montgomery Rd, Suite 204, Cincinnati, OH 45242-5220 | ||
447 Nilles Rd, Suite 3, Fairfield, OH 45014-2626 |
Street Address |
447 NILLES RD SUITE 3 |
City | FAIRFIELD |
State | OH |
Zip | 45014-2626 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard Sterling Jackson | Optometry | 574 Symmes Rd, Fairfield, OH 45014-1038 | |
Amir Izhar | Nephrology | Kidney and Hypertension Center Inc | 1210 Hicks Blvd, Fairfield, OH 45014-1921 |
Diana Christine Scott | Certified Clinical Nurse Specialist (cns) | Decoach Team LLC | 6570 Sosna Dr, Fairfield, OH 45014-2222 |
James R Hodge | Colorectal Surgery (proctology) | Decoach Team LLC | 6570 Sosna Dr, Fairfield, OH 45014-2222 |
Robert D Poteete | Chiropractic | 5088 Pleasant Ave, Fairfield, OH 45014-2518 | |
Karl W Jackson | Psychologist, Clinical | 311 Nilles Rd A, Fairfield, OH 45014-2621 | |
Dummi P Yathiraj | Internal Medicine | 311 Nilles Rd C, Fairfield, OH 45014-2621 | |
Rahib N Vasi | Internal Medicine | 311 Nilles Rd, Suite C, Fairfield, OH 45014-2621 | |
Shwetal Desai | Internal Medicine | 5157 Pleasant Ave, Fairfield, OH 45014-2622 | |
Carol Anderson | Ophthalmology | 5161 Pleasant Ave, Fairfield, OH 45014-2639 | |
Find all physicians in zip 45014 |
City | FAIRFIELD |
Zip Code | 45014 |
Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
City + Specialty | FAIRFIELD + COLORECTAL SURGERY (PROCTOLOGY) |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.