MATTHEW DOUGLAS ZITTEL (NPI# 1144785361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144785361 |
| Entity Type | Individual |
| Full Name | MATTHEW DOUGLAS ZITTEL |
| Practice Address |
7892 Lutz Ave Nw Massillon OH 44646-9077 |
| Practice Telephone | 3309332868 |
| Mailing Telephone | 3309332868 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7892 LUTZ AVE NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-9077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1518583228 | Jessica Le | Student in an Organized Health Care Education/Training Program | 3244 Bailey St Nw, Massillon, OH 44646-3616 | 2020-06-18 |
| 1366979007 | Jordan Grilliot | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-12 |
| 1568997211 | Jordyn Thiel | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-05-01 |
| 1851826770 | Sarah Beth Slagle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1588199400 | William Durkin | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2017-04-28 |
| 1861935157 | Jennifer Porachan | Student in an Organized Health Care Education/Training Program | 2311 Nave Rd Se, Massillon, OH 44646-8822 | 2016-11-18 |
| 1487001228 | Nicholas E Spittle | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-23 |
| 1851748925 | Neysa Dominguez | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2016-05-19 |
| 1619232055 | Hannah Marie Mckeever | Student in an Organized Health Care Education/Training Program | 875 8th St Ne, Massillon, OH 44646-8503 | 2012-07-11 |
| Find all providers in MASSILLON | ||||
Please comment or provide details below to improve the information on MATTHEW DOUGLAS ZITTEL.
| 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.