DR. PETER L MATTEI IV (NPI# 1013195759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013195759 |
| Entity Type | Individual |
| Full Name | DR. PETER L MATTEI IV |
| Credential | M.D. |
| Practice Address |
125 Fox Hollow Rd Ste 210 Pinehurst NC 28374-8593 |
| Mailing Address |
125 Fox Hollow Rd Ste 101 Pinehurst NC 28374-8594 |
| Practice Telephone | 9106845211 |
| Practice Fax Number | 9106845058 |
| Mailing Telephone | 9106845211 |
| Mailing Fax Number | 9106845058 |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2015-02351 | NC | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2015-02351 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356430920 | Peter A Mattei | Surgery | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-10-12 |
| Street Address |
125 FOX HOLLOW RD STE 210 |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841848678 | Shannon M Ellis | Physician Assistant | 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 | 2019-08-26 |
| 1881101236 | Hannah M Palko | Physician Assistant | 125 Fox Hollow Rd Ste 210, Pinehurst, NC 28374-8593 | 2018-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205999687 | Carolina Skin Care, Pa | Dermatology | 125 Fox Hollow Rd, Ste 210, Pinehurst, NC 28374-8511 | 2006-12-18 |
| 1336231299 | Reynold Carter Grine | Dermatology | 185 Page Road, Suite A, Pinehurst, NC 28374-8747 | 2006-09-29 |
| 1730283276 | David Ivan Klumpar | Dermatology | 125 Fox Hollow Road, Suite 210, Pinehurst, NC 28374 | 2006-09-12 |
| 1992025647 | Natalie Lucas Davies | Dermatology | 205 Page Rd, Pinehurst, NC 28374 | 2010-06-04 |
| 1023145976 | Pamela Jenny Marie Guest | Dermatology | 205 Page Road, Pinehurst, NC 28374-8798 | 2007-02-27 |
| 1134271877 | Sandhills Dermatology,pa | Dermatology | 40 Aviemore Dr, Pinehurst, NC 28374-9700 | 2007-01-16 |
| 1609928357 | Diane Subin | Dermatology | 40 Aviemore Dr, Pinehurst, NC 28374-9700 | 2007-01-16 |
| 1386791101 | Sarah Elizabeth Vieta | Dermatology | 289 Olmsted Blvd, Suite 5, Pinehurst, NC 28374-8729 | 2007-01-04 |
| 1265546386 | Juliann S Wallner | Dermatology | 205 Page Rd, Pinehurst, NC 28374-8749 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1316556871 | Easterm Dermatology, Pa | Dermatology | 1840 Nc Hwy 24, Newport, NC 28570 | 2020-07-30 |
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
| 1073172433 | Elaine Otchere | Dermatology | M145 Green Zone Duke South 40 Duke Medicine Circle, Durham, NC 27710-8267 | 2019-06-10 |
| 1902469570 | Falling Leaves Dermatology Mooresville LLC | Dermatology | 136 Corporate Park Dr Ste H, Mooresville, NC 28117-6960 | 2019-04-18 |
| 1669945259 | Claire Engel Holmquist | Dermatology | 11301 Golf Links Dr N Ste 203, Charlotte, NC 28277-8014 | 2019-01-07 |
| 1497227144 | Integrated Dermatology of North Carolina, Pllc | Dermatology | 10512 Park Rd Ste 113, Charlotte, NC 28210-8469 | 2018-12-19 |
| 1558848093 | Dermatology Consultants of Asheville Pllc | Dermatology | 218 Elkwood Ave # 104, Woodfin, NC 28804-2247 | 2018-07-27 |
| 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.