PETER J MATTINA (NPI# 1568474344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568474344 |
| Entity Type | Individual |
| Full Name | PETER J MATTINA |
| Credential | MD |
| Practice Address |
800 39th St W Bradenton FL 34205-2456 |
| Practice Telephone | 9417474664 |
| Practice Fax Number | 9417473067 |
| Mailing Telephone | 9417474664 |
| Mailing Fax Number | 9417473067 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME15265 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
800 39TH ST W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770837189 | Puja Ramji Kathrotiya | Dermatology | 4351 Cortez Rd W Ste 101, Bradenton, FL 34210-3140 | 2012-11-07 |
| 1750600359 | Kate R Gerber | Dermatology | 5301 4th Avenue Cir E, Bradenton, FL 34208-5623 | 2010-05-20 |
| 1669534012 | Beatrice Jennifer Berkes | Dermatology | 702 Manatee Ave W, Bradenton, FL 34205-8663 | 2006-12-14 |
| 1548225329 | Jeffrey S. Beard, M.d.,p.a. | Dermatology | 1416 59th St W, Bradenton, FL 34209-4607 | 2006-04-18 |
| 1962474437 | John William Demetree | Dermatology | 1312 Riverview Cir, Bradenton, FL 34209-1257 | 2006-02-07 |
| 1316934714 | Jack C Jawitz | Dermatology | 2919 26th St W, Bradenton, FL 34205-3737 | 2005-09-30 |
| 1710432828 | Dahlia Saleh | Dermatology | 4351 Cortez Rd W Ste 101, Bradenton, FL 34210-3215 | 2016-08-18 |
| 1275952780 | Taylor Lloyd Dodgen | Dermatology | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2014-04-11 |
| 1801191101 | Leavitt Medical Associates of Florida Inc | Dermatology | 2902 59th St W, Suite A, Bradenton, FL 34209-7023 | 2011-01-18 |
| 1093017774 | Brooks Management | Dermatology | 2919 26th St W, Bradenton, FL 34205-3737 | 2010-12-01 |
| Find all providers in BRADENTON | ||||
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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.