DR. JAMIE LYNN MATTEO (NPI# 1093075020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093075020 |
| Entity Type | Individual |
| Full Name | DR. JAMIE LYNN MATTEO |
| Credential | D.P.M. |
| Practice Address |
628 Niles Cortland Rd Se Ste 103 Warren OH 44484-2473 |
| Practice Telephone | 3303722218 |
| Practice Fax Number | 3303722572 |
| Mailing Telephone | (330) 372-2218 |
| Mailing Fax Number | 3303722572 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
003719 | OH | Podiatric Medicine & Surgery Service Providers |
| Street Address |
628 NILES CORTLAND RD SE STE 103 |
| City | WARREN |
| State | OH |
| Zip Code | 44484-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336389519 | Cara Christine Dunbar Kalogerou | Podiatrist | 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 | 2009-02-27 |
| 1619110178 | Cara Kalogerou Dpm, Inc. | Podiatrist | 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134501885 | Jamie L Matteo Dpm, Inc | Podiatrist | 628 Niles Cortland Road Se Suite 103, Warren, OH 44484-2473 | 2015-06-18 |
| 1962841544 | Siraj Panchbhaiya | Podiatrist | 11900 E 12 Mile Rd Ste 102, Warren, MI 48093-3487 | 2013-06-18 |
| 1194061002 | Advanced Podiatry Ankle & Footcare Centers Inc | Podiatrist | 4441 Mahoning Ave Nw Ste A, Warren, OH 44483-1976 | 2012-12-20 |
| 1336389519 | Cara Christine Dunbar Kalogerou | Podiatrist | 628 Niles Cortland Rd Se Ste 103, Warren, OH 44484-2473 | 2009-02-27 |
| 1588804132 | Kenneth James Donovan | Podiatrist | 9 Mount Bethel Rd, Suite 9, Warren, NJ 07059-5603 | 2009-02-23 |
| 1437124492 | A Caring Podiatrist Inc | Podiatrist | 2900 Elm Road Ne, Warren, OH 44483 | 2006-02-22 |
| 1194703157 | Diana G Karnavas | Podiatrist | 4441 Mahoning Ave Nw, Suite A, Warren, OH 44483-1932 | 2006-01-09 |
| 1982606414 | Charles Gregory Kissel | Podiatrist | 29433 Ryan Rd, Warren, MI 48092-2203 | 2005-08-15 |
| 1073008371 | Firras Garada | Podiatrist | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2018-06-28 |
| 1326531377 | Giulia Consulting Pllc | Podiatrist | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | 2018-06-13 |
| Find all providers in WARREN | ||||
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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.