DR. MARISA KIM DEMATTEO-SANTA (NPI# 1184809253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184809253 |
Entity Type | Individual |
Full Name | DR. MARISA KIM DEMATTEO-SANTA |
Credential | D.P.M. |
Practice Address |
488 Main Ave Norwalk CT 06851-1008 |
Practice Telephone | 2038380442 |
Practice Fax Number | 2038389431 |
Mailing Telephone | 2038380442 |
Mailing Fax Number | 2038389431 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2018-04-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000875 | CT | Podiatric Medicine & Surgery Service Providers |
Street Address |
488 MAIN AVE |
City | NORWALK |
State | CT |
Zip Code | 06851-1008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740636760 | Norwalk Sports & Spine | Chiropractor | 488 Main Ave, 2nd Floor, Norwalk, CT 06851-1008 | 2016-05-09 |
1780079269 | Shane Reynolds | Podiatrist | 488 Main Ave, Norwalk, CT 06851-1008 | 2015-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
Find all providers in zip 06851 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
1811280548 | Kibrom G Asrat Dpm Apc | Podiatrist | 13132 Studebaker Rd Ste 6, Norwalk, CA 90650 | 2011-05-27 |
1417134693 | Devang C Patel, PC | Podiatrist | 761 Main Ave., Suite 106, Norwalk, CT 06851-0002 | 2008-01-30 |
1245414150 | Best Podiatry, LLC | Podiatrist | 40 Cross St Ste 330, Norwalk, CT 06851-4661 | 2007-12-27 |
1508917204 | Mark S Linam Dpm A Professional Corp. | Podiatrist | 12820 Studebaker Rd Ste 200, Norwalk, CA 90650-2583 | 2007-01-16 |
1033137427 | Michael Darin Mcgavic | Podiatrist | 13132 Studebaker Rd Ste 2, Norwalk, CA 90650-2559 | 2006-07-17 |
1669473344 | Andrew H Rice | Podiatrist | 4 Colony St, Norwalk, CT 06851-5803 | 2005-08-03 |
1285194670 | Arch Foot and Ankle, P.C. | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2019-03-21 |
1861832149 | Kyoung Min Han,dpm PC Inc. | Podiatrist | 12820 Studebaker Rd, Suite 200, Norwalk, CA 90650-2578 | 2013-07-01 |
1447556204 | Kibrom Ghirmay Asrat | Podiatrist | 13132 Studebaker Rd, Ste 6, Norwalk, CA 90650 | 2011-01-26 |
Find all providers in NORWALK |
Please comment or provide details below to improve the information on DR. MARISA KIM DEMATTEO-SANTA.
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.