TEODULO REYES MATIONG (NPI# 1386739506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386739506 |
| Entity Type | Individual |
| Full Name | TEODULO REYES MATIONG |
| Credential | MD |
| Practice Address |
10201 Sr 52 Hudson FL 34669 |
| Mailing Address |
14690 Spring Hill Dr Ste 305 Spring Hill FL 34609-8102 |
| Practice Telephone | 7278571818 |
| Practice Fax Number | 7278571609 |
| Mailing Telephone | 3522775348 |
| Mailing Fax Number | 3526062857 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME 0028139 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 063426301 | 05 | |
| FL | WELLCARE | 225165 | 01 |
| FL | WELLCARE/STAYWELL | 225165 | 01 |
| Street Address |
10201 SR 52 |
| City | HUDSON |
| State | FL |
| Zip Code | 34669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851346 | Karewego LLC | Home Health | 14851 State Road, Suite 107, Hudson, FL 34669 | 2020-01-28 |
| 1780919969 | Jennifer L. Laman | Family Medicine | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2009-10-06 |
| 1710120613 | Michael Dale Harless | Community Health Worker | 11836 Lakewood Dr, Hudson, FL 34669 | 2009-04-08 |
| 1538634761 | Medical Risk Solutions | Family Medicine | 14730 Cobra Way, Hudson, FL 34669 | 2018-10-03 |
| 1255726683 | Michael Lamparelli | Family Medicine | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2015-04-02 |
| 1902109929 | Charity Eleanor Spencer | Physician Assistant | 13235 State Road 52 Ste 102, Hudson, FL 34669 | 2010-12-14 |
| 1811341860 | Christina Guida | Specialist | 14410 Cobra Way, Hudson, FL 34669-1011 | 2016-04-15 |
| 1396913638 | Colleen Jones | Occupational Therapy Assistant | 14302 Cobra Way, Hudson, FL 34669-1011 | 2008-02-20 |
| 1336557180 | Serenity Assisted Living Facility LLC | Assisted Living Facility | 15322 Matis Rd, Hudson, FL 34669-1023 | 2014-07-24 |
| 1710989967 | Catherine Bond | Nurse Practitioner | 14730 Cobra Way, Hudson, FL 34669-1083 | 2005-06-01 |
| Find all providers in zip 34669 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750942231 | Susan Hazel Bane | Internal Medicine | 258 Roxbury Rd, Hudson, NY 12534-3612 | 2019-06-25 |
| 1083120794 | Norman David Lafrance | Internal Medicine | 19 Rue Raffles, Hudson, QUEBEC J0P1H0 | 2017-12-18 |
| 1780195735 | Summit Hospitalists, LLC | Internal Medicine | 2608 Brunswick Ln, Hudson, OH 44236-1407 | 2017-10-17 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1366872087 | Summa Physicians Inc | Internal Medicine | 328 E Hines Hill Rd, Hudson, OH 44236-1118 | 2013-11-15 |
| 1174889166 | Rafael Antonio Rojano Marin | Internal Medicine | 405 Stageline Rd., Hudson, WI 54016-7848 | 2012-04-04 |
| 1063643211 | Neha Khullar | Internal Medicine | 71 Prospect Ave Ste 230, Hudson, NY 12534-2907 | 2009-08-06 |
| 1023263506 | Myvisitingdoctorsinc | Internal Medicine | 12336 Southbridge Ter, Hudson, FL 34669-5037 | 2008-11-25 |
| 1487811931 | Darshan V. Patel | Internal Medicine | 7614 Jacque Rd Ste C, Hudson, FL 34667-7195 | 2008-05-21 |
| 1124296678 | Stadion Inpatient Services LLC | Internal Medicine | 1400 Fivay Road, Hudson, FL 34667 | 2008-02-19 |
| Find all providers in HUDSON | ||||
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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.