ALLISON LEIGH MATIS (NPI# 1427208487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427208487 |
| Entity Type | Individual |
| Full Name | ALLISON LEIGH MATIS |
| Credential | AA |
| Practice Address |
1901 Sw 172nd Ave Miramar FL 33029-5592 |
| Mailing Address |
1613 Harrison Pkwy Suite 200 Sunrise FL 33323-2896 |
| Practice Telephone | 9545385000 |
| Practice Fax Number | 9548511758 |
| Mailing Telephone | 9548382588 |
| Mailing Fax Number | 9548511758 |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA18 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1901 SW 172ND AVE |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021197 | South Broward Hospital District | General Acute Care Hospital | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2005-11-25 |
| 1871123687 | Linda Maria Weisberg | Nurse Anesthetist, Certified Registered | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2020-01-21 |
| 1477069656 | Jennifer Christine Wright D'orazio | Nurse Practitioner | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2017-12-24 |
| 1104376722 | Nancy Jennifer Gavilanes | Nurse Practitioner | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2016-10-06 |
| 1619345899 | Edgar A. Peralta | Physician Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2015-09-04 |
| 1760722268 | Astrid Laverde | Nurse Anesthetist, Certified Registered | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2013-02-20 |
| 1790022507 | Barbara Rosa Martinez Md Pa | Family Medicine | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2013-01-14 |
| 1518211010 | Laura Pequeno | Pharmacist | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2012-11-05 |
| 1295086270 | Pedro A Lorenzo Jr. | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2012-10-01 |
| 1073895017 | Edward De Jesus Bolanos | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295086270 | Pedro A Lorenzo Jr. | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2012-10-01 |
| 1073895017 | Edward De Jesus Bolanos | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2011-09-15 |
| 1275841058 | Jose G Toca | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2010-09-15 |
| 1497063242 | Lisa Marie Dorto Freeman | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029 | 2010-09-15 |
| 1316276959 | Fahim A. Siddiqui | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2009-12-10 |
| 1881920981 | Stephanie Trevisan | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029 | 2009-10-23 |
| 1447400403 | Christa Maria Hoffman | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2008-09-26 |
| 1437309499 | Lisa Yoshida Smith | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2008-09-26 |
| 1699925743 | Sabrina Akhavan | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2008-09-25 |
| 1831349992 | Rosemary Ann Howard | Anesthesiologist Assistant | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | 2008-09-25 |
| Find all providers in MIRAMAR | ||||
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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.