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).
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 |
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 |
Street Address |
71 OLD MILL BOTTOM RD N SUITE 300 |
City | ANNAPOLIS |
State | MD |
Zip Code | 21409-5410 |
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 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Please comment or provide details below to improve the information on MRS. MICHELLE ARLENE DEMATTIA.
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.