MRS. MICHELLE ARLENE DEMATTIA


Address: 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410
Phone: 4102683887

MRS. MICHELLE ARLENE DEMATTIA (NPI# 1316056575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316056575
Entity Type Individual
Full Name MRS. MICHELLE ARLENE DEMATTIA
Other Name MS. MICHELLE ARLENE CAMPBELL
Credential PA-C
Practice Address 71 Old Mill Bottom Rd N
Suite 300
Annapolis
MD 21409-5410
Practice Telephone 4102683887
Practice Fax Number 4102688171
Mailing Telephone 4102683887
Mailing Fax Number 4102688171
Enumeration Date 2006-08-30
Last Update Date 2015-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 0110004351 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
C05800 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 71 OLD MILL BOTTOM RD N
SUITE 300
City ANNAPOLIS
State MD
Zip Code 21409-5410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629070495 Mark E Eaton Dermatology 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 2005-08-11
1417399783 Danielle Marie Goldberg Nurse Practitioner 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5410 2013-07-26
1538339221 Sleep Disorders Ctrs of The Mid Atlantic LLC Durable Medical Equipment & Medical Supplies 71 Old Mill Bottom Rd N, Ste 102, Annapolis, MD 21401-5410 2008-03-10
1700995974 Annapolis Dermatology Center, Pa Dermatology 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 2006-08-30
1124089362 Christine D Ambro Dermatology 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 2006-03-29
1952379745 Krista K Buckley Dermatology 71 Old Mill Bottom Rd N, Ste 300, Annapolis, MD 21409-5410 2006-03-09
1598753097 Beth G Diamond Dermatology 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 2005-10-10
1720076391 Gail R Goldstein Dermatology 71 Old Mill Bottom Rd N, Suite 300, Annapolis, MD 21409-5431 2005-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275953309 Lesley Anne Sutherland Dermatology 71 Old Mill Bottom Rd N Ste 300, Annapolis, MD 21409 2014-04-16
1215206107 James Johnston Carey Internal Medicine 2021 Homewood Rd, Annapolis, MD 21409 2011-12-21
1932350196 Joyce L. Nay Social Worker 1407a Sharps Point Rd, Annapolis, MD 21409 2008-10-07
1912112350 Jason Karampatsos Counselor 1591 Whitehall Road, Annapolis, MD 21409 2007-05-11
1376638908 Barbara T Furlow Internal Medicine 1808 Millridge Court, Annapolis, MD 21409 2006-10-03
1134512213 Rachel Ruyter Occupational Therapist 1613 Trawler Ln, Annapolis, MD 21409-3738 2015-03-12
1508008475 Matthew Yeazel Social Worker 580 Bellerive Rd, Unit 5b, Annapolis, MD 21409-4602 2009-03-24
1710106943 Jennifer Elizabeth Kondracki Registered Nurse 1230 Ramblewood Dr, Annapolis, MD 21409-4607 2007-04-25
1316111842 Alan Gary Kline Dentist 584 Bellerive Rd, Suite #b, Annapolis, MD 21409-4612 2008-04-16
1508420803 Susan Gail Krohn Social Worker 584 Bellerive Rd, Annapolis, MD 21409-4612 2019-04-23
Find all providers in zip 21409

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407107675 Carl Fredrick Oltman Sr. Physician Assistant 1003 Tyler Ave, Annapolis, MD 21403-1909 2012-09-27
1518277698 Uwe Reichmann Physician Assistant 129 Lubrano Dr Ste 200, Annapolis, MD 21401-7567 2010-10-07
1639408644 William E Burke Physician Assistant 3205 Chrisland Dr, Annapolis, MD 21403-4351 2009-12-22
1568545515 James F Heins Jr. Physician Assistant 2002 Medical Pkwy Ste 630, Annapolis, MD 21401-3059 2006-10-23
1811996291 Carol A. Jerosimich Physician Assistant 170 Jennifer Rd Ste 240, Annapolis, MD 21401-7995 2005-07-19
1568907947 Michelle Arey Physician Assistant 2002 Medical Parkway, Suite 500, Annapolis, MD 21401-3046 2016-12-21
1306238308 Ashlyn Nicole Yannitello Physician Assistant 2001 Medical Pkwy, Annapolis, MD 21401-3773 2015-02-27
1942606462 Sara Makrinos Physician Assistant 116 Defense Hwy, Suite 403, Annapolis, MD 21401-7027 2014-11-11
1972949543 Melissa Nicole Corbin Physician Assistant 2448 Holly Ave, Suite 101, Annapolis, MD 21401-3148 2013-05-22
1447500707 Michael-anne Ashford Physician Assistant 2002 Medical Pkwy, Ste 500, Annapolis, MD 21401-3046 2012-09-13
Find all providers in ANNAPOLIS

Competitor

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City ANNAPOLIS
Zip Code 21409

Improve Information

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Dataset Information

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.

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