DR. ANDRES MATOSO (NPI# 1316129604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316129604 |
| Entity Type | Individual |
| Full Name | DR. ANDRES MATOSO |
| Practice Address |
401 N Broadway St Baltimore MD 21287-0019 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4109554053 |
| Practice Fax Number | 4106141287 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
D73547 | MD | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
LP01285 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
401 N BROADWAY ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071459 | Peter Illei | Pathology | 401 N Broadway St, Weinberg Bldg. Rm. 2242, Baltimore, MD 21231-2410 | 2005-08-29 |
| 1780282756 | Laurie Bryant | Clinical Nurse Specialist | 401 N Broadway St, Baltimore, MD 21287-0019 | 2020-10-13 |
| 1881292118 | Alexandra Kaley Hrynda | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2020-10-09 |
| 1558919498 | Brett Ashley Myers | Physician Assistant | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-09-03 |
| 1679125629 | Kiryoung Kim | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-07-10 |
| 1770145054 | Laura Clayton | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-07-08 |
| 1427610328 | Cory Ann Schulz | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-07-01 |
| 1902463375 | Michael Herman Chui | Pathology | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-05-21 |
| 1245732320 | Isabel Mackinnon Lobes | Registered Nurse | 401 N Broadway St, Baltimore, MD 21287-0019 | 2018-03-05 |
| 1801334651 | Rachel Klein | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2017-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| Find all providers in zip 21287 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245642511 | Yang Zhang | Pathology | 401 N Broadway St Ste 2242, Baltimore, MD 21287 | 2014-05-21 |
| 1720321375 | Alexander Albert Berrebi | Pathology | 1725 S Hanover St, Baltimore, MD 21230-4813 | 2013-04-02 |
| 1881950475 | Kevin Michael Waters | Pathology | 600 N Wolfe St Pathology, Baltimore, MD 21287-0001 | 2012-04-09 |
| 1508149881 | Kelly M Brenan Rothschild | Pathology | 708 Regester Ave, Baltimore, MD 21212 | 2011-09-23 |
| 1790983542 | Brent Alan Orr | Pathology | The Johns Hopkins Hospital Department of Pathology, 600 North Wolfe Street, Baltimore, MD 21287-0005 | 2007-07-03 |
| 1306997804 | Jonathan Cuda | Pathology | Johns Hopkins Hospital Department of Pathology, 600 N. Wolfe St. Pathology Bldg, Rm 401, Baltimore, MD 21287 | 2007-01-13 |
| 1063562726 | Wenle Wang | Pathology | The John Hopkins Hospital, 401 N. Broadway, Weinberg Bldg Suit 2242, Baltimore, MD 21231 | 2007-01-12 |
| 1457401507 | Terina Swanson Chen | Pathology | Good Samaritan Hospital, Pathology Department, 5601 Loch Raven Boulevard, Baltimore, MD 21239-2995 | 2007-01-11 |
| 1407945330 | Orly C Korat | Pathology | 1901 Sulphur Spring Rd, Department of Pathology, Baltimore, MD 21227-2943 | 2006-10-11 |
| 1891753638 | Ruth Y Peng | Pathology | 345 St. Paul Place, 7th Floor, Pathology Dept., Baltimore, MD 21202 | 2006-05-02 |
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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.