PETER MATTY (NPI# 1366941247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366941247 |
| Entity Type | Individual |
| Full Name | PETER MATTY |
| Practice Address |
24661 Coolidge Hwy Oak Park MI 48237-1449 |
| Mailing Address |
37553 Susan St Sterling Heights MI 48310-3829 |
| Practice Telephone | 2482063497 |
| Mailing Telephone | 2486316691 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1135190 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24661 COOLIDGE HWY |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053592238 | Ibrahim Hussein Dabaja | Physician Assistant | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2007-11-16 |
| 1982203972 | Nouha Mohamad Hassan | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-10-20 |
| 1811524655 | Houda Abdallah | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2020-03-23 |
| 1386185205 | Donna Saad-hamie | Nurse Practitioner | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2017-03-10 |
| 1437544350 | Dabaja Medical Consulting Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2015-03-30 |
| 1770980385 | Oak Park Urgent Care Pllc | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-11-25 |
| 1174947543 | Dabaja Medical Consulting | Clinic/Center | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2014-02-06 |
| 1952630097 | Universal Medical Group P.C. | Internal Medicine | 24661 Coolidge Hwy, Oak Park, MI 48237-1449 | 2009-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441328 | Ishangi Shah | Physician Assistant | 432 Harrison St Apt G, Oak Park, IL 60304-1464 | 2020-06-12 |
| 1073150744 | Taelor Young | Physician Assistant | 6660 Buttonwood Ave, Oak Park, CA 91377-1327 | 2019-12-02 |
| 1356995344 | Shane Sternhill Bellon | Physician Assistant | 4818 Aliano Dr, Oak Park, CA 91377-4828 | 2019-07-28 |
| 1396304788 | Karina Mariel Calderon | Physician Assistant | 610 S Maple Ave Ste 3700, Oak Park, IL 60304-2806 | 2019-06-10 |
| 1699220780 | Katherine Lehman | Physician Assistant | 539 S Cuyler Ave, Oak Park, IL 60304-1502 | 2016-08-18 |
| 1922400472 | Latoya Miller | Physician Assistant | 903 Clinton Ave, Apt 1, Oak Park, IL 60304-1868 | 2014-09-16 |
| 1598026536 | Candice Oberlies | Physician Assistant | 1010 Lake St Ste 500, Oak Park, IL 60301-1135 | 2012-06-06 |
| 1831199264 | Gayatri R. Amin | Physician Assistant | 8750 W 9 Mile Rd, Oak Park, MI 48237-2322 | 2005-07-28 |
| 1184259038 | Aimee Fondell Klinefelter | Physician Assistant | 7047 North Ave, Oak Park, IL 60302-1015 | 2020-03-10 |
| 1225593965 | Stephanie Bachmann | Physician Assistant | 1 Erie Ct Ste 7120, Oak Park, IL 60302-2510 | 2019-02-06 |
| Find all providers in OAK PARK | ||||
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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.