DR. KELLY MAUREEN MATON (NPI# 1013901263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013901263 |
| Entity Type | Individual |
| Full Name | DR. KELLY MAUREEN MATON |
| Other Name | KELLY MAUREEN O'NEILL |
| Credential | M.D. |
| Practice Address |
17615 Sw 97th Ave Palmetto Bay FL 33157-5636 |
| Mailing Address |
3200 Sw 60th Ct. Suite#302 Miami FL 33155-4071 |
| Practice Telephone | 7866245955 |
| Practice Fax Number | 7862681738 |
| Mailing Telephone | 3056228330 |
| Mailing Fax Number | 3056696496 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 218931 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
218931 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02097661 | 05 |
| Street Address |
17615 SW 97TH AVE |
| City | PALMETTO BAY |
| State | FL |
| Zip Code | 33157-5636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902271976 | Jessica Maria Coriat | Social Worker | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2015-12-02 |
| 1649641788 | Dalia Perez | Social Worker | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2015-10-15 |
| 1275949042 | Judy Bello | Social Worker | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2014-07-01 |
| 1538595194 | Agnes Amelia Sheffey | Physical Therapist | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2013-09-16 |
| 1306196688 | Guerline Sanon | Social Worker | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2012-09-14 |
| 1326319104 | Variety Children's Hospital | Pediatrics | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2012-01-25 |
| 1396023651 | Meredith Adams | Occupational Therapist | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2011-08-03 |
| 1144508433 | Sissi Grocholski | Speech-Language Pathologist | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2011-08-03 |
| 1851679138 | Dawn Cassimire | Speech-Language Pathologist | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2011-08-03 |
| 1538447818 | Kristin Hayden | Physical Therapist | 17615 Sw 97th Ave, Palmetto Bay, FL 33157-5636 | 2011-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711399 | Palmetto Bay Retirement Home | Assisted Living Facility | 9220 Sw 174th Street, Palmetto Bay, FL 33157 | 2020-05-07 |
| 1033752886 | Jean Carlos Alf, Inc. | Assisted Living Facility | 9760 Memorial Road, Cutler Bay, FL 33157 | 2019-10-24 |
| 1912470238 | Metro Transport Services LLC | Non-emergency Medical Transport (VAN) | 18495 South Dixie Highway #233, Miami, FL 33157 | 2019-01-09 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| 1891283297 | Arianna Michelle Endara | Occupational Therapist | 10920 Sw 186th Street, Miami, FL 33157 | 2018-05-01 |
| 1841798022 | Yanet Rodriguez | Behavioral Analyst | 10920 Sw 200th Dr #100, Cutler Bay, FL 33157 | 2018-01-23 |
| 1548777543 | Ceda Orthopedics & Interventional Medicine | Chiropractor | 10974 Sw 184th Street, Miami, FL 33157 | 2017-12-29 |
| 1033635438 | Gabriela Deschamps | Behavior Technician | 15385 S Dixie Hwy, Apt 4, Miami, FL 33157 | 2017-08-17 |
| 1811411598 | Rebeca Molina De Tamayo | Behavior Technician | 9507 Sw 160th Street, Suite 250, Miami, FL 33157 | 2017-08-03 |
| 1194249912 | Family Love Behavioral Health Care LLC | Behavioral Analyst | 18901 Sw 106 Avenue, Suite A-227, Miami, FL 33157 | 2017-08-02 |
| Find all providers in zip 33157 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689795510 | Elizabeth Garcia Lopez De Victoria | Psychiatry & Neurology | 9025 Sw 160 Terrace, Palmetto Bay, FL 33157 | 2007-04-02 |
| 1881770014 | Robert F Cullen Jr. | Psychiatry & Neurology | 15715 S Dixie Hwy Ste 407, Palmetto Bay, FL 33157-1812 | 2006-10-31 |
| 1164486692 | Timothy L Grant | Psychiatry & Neurology | 9299 Sw 152nd St Ste 100, Palmetto Bay, FL 33157 | 2006-04-13 |
| 1750582508 | Abiezer Rodriguez Centeno | Psychiatry & Neurology | 9333 Sw 152nd St, Palmetto Bay, FL 33157-1778 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | PALMETTO BAY |
| Zip Code | 33157 |
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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.