MARIE MATEO (NPI# 1558327023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558327023 |
| Entity Type | Individual |
| Full Name | MARIE MATEO |
| Credential | MD |
| Practice Address |
500 Kirts Blvd Ste 200 Troy MI 48084 |
| Mailing Address |
500 Kirts Blvd Ste 100 Troy MI 48084-4135 |
| Practice Telephone | 2488246060 |
| Practice Fax Number | 2486860772 |
| Mailing Telephone | 2484346169 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301082659 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 222940 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02351068 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902910060 | Marie Mateo | Advanced Practice Midwife | 2210 Mesa Dr, Suite 5, Oceanside, CA 92054-3756 | 2006-08-18 |
| Street Address |
500 KIRTS BLVD STE 200 |
| City | TROY |
| State | MI |
| Zip Code | 48084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278744 | Barid Mukherjee | Internal Medicine | 500 Kirts Blvd Ste 200, Troy, MI 48084-4140 | 2006-01-03 |
| 1881195808 | Amit Saxena | Physical Therapist | 500 Kirts Blvd Ste 200, Troy, MI 48084-4140 | 2018-02-25 |
| 1932588449 | Kristopher Rai | Family Medicine | 500 Kirts Blvd Ste 200, Troy, MI 48084 | 2015-05-29 |
| 1316339989 | Joy Simmons | Nurse Practitioner | 500 Kirts Blvd Ste 200, Troy, MI 48084-4140 | 2015-02-19 |
| 1750637583 | Angela Consuelo Ricaurte-valle | Family Medicine | 500 Kirts Blvd Ste 200, Troy, MI 48084-4140 | 2012-07-30 |
| 1376740548 | Badawi Abdellatif | Internal Medicine | 500 Kirts Blvd Ste 200, Troy, MI 48084 | 2007-06-29 |
| 1033314869 | Varinia Urday-gamalski | Internal Medicine | 500 Kirts Blvd Ste 200, Troy, MI 48084-4140 | 2007-06-20 |
| 1881649390 | Debra Beth Klueger | Internal Medicine | 500 Kirts Blvd Ste 200, Troy, MI 48084-4140 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159327 | Charity Jan Martin | Family Medicine | 507 Ellis Ave, Troy, TX 76579-2515 | 2020-09-16 |
| 1871123844 | Tangerine Health Inc. | Family Medicine | 1432 Devon Ln, Troy, MI 48084-7046 | 2020-01-18 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1952830432 | Fhpg, LLC | Family Medicine | 522 Allen St Ste 203, Troy, NC 27371-2861 | 2017-06-08 |
| 1144583832 | Norah Duncan | Family Medicine | 2041 E Square Lake Rd., Suite 300, Troy, MI 48085 | 2012-06-19 |
| 1740590231 | Bhavesh Patel | Family Medicine | 619 Edwardsville Rd, Troy, IL 62294-1441 | 2010-10-18 |
| 1427289081 | Ghidah Edmon Al-khouri | Family Medicine | 627 E Maple Rd Ste 200, Troy, MI 48083-2812 | 2009-07-30 |
| 1245467224 | Anne S Pamula | Family Medicine | 68 Fenner Ave, Troy, Troy, PA 16947-1501 | 2009-06-17 |
| 1831362425 | Michael Saad Mitry | Family Medicine | 3661 Wakefield Dr, Troy, MI 48083-5358 | 2008-04-04 |
| Find all providers in TROY | ||||
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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.