CARLOS MATA P.A. (NPI# 1265778971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265778971 |
| Entity Type | Organization |
| Organization Name | CARLOS MATA P.A. |
| Practice Address |
424 W Hwy 90 Crestview FL 32536-2638 |
| Mailing Address |
205 Tooke St Fort Walton Beach FL 32547-2681 |
| Practice Telephone | 8506892260 |
| Mailing Telephone | 8509203223 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | DR. CARLOS MATA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8509203223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME111574 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
424 W HWY 90 |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275166720 | Ph1 Miami | Plastic Surgery | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 |
| 1720619927 | Jhs Surgical Pavillion LLC | Plastic Surgery | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 |
| 1861048498 | Alexandra Conde Green Md Pa | Plastic Surgery | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 |
| 1962062885 | Zunilda Rodriguez Martinez | Plastic Surgery | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1508335985 | Plastic Surgery Associates of Miami | Plastic Surgery | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 |
| 1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | Plastic Surgery | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 |
| 1790271096 | Rsm Plastic Surgery, Pa | Plastic Surgery | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 |
| 1609306877 | South Beach Plastic Surgery, P.a. | Plastic Surgery | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 |
| 1295278943 | Florida Dermatology Plastic Surgery LLC | Plastic Surgery | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 |
| 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.