DR. MATTEO TREZZI


Address: 96 Jonathan Lucas St, Pediatric Cardiac Surgery, Charleston, SC 29425-8900
Phone: 2166446544

DR. MATTEO TREZZI (NPI# 1598995003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598995003
Entity Type Individual
Full Name DR. MATTEO TREZZI
Credential M.D.
Practice Address 96 Jonathan Lucas St
Pediatric Cardiac Surgery
Charleston
SC 29425-8900
Mailing Address 1054 Anna Knapp Blvd
Apt # 23 E
Mount Pleasant
SC 29464-3163
Practice Telephone 2166446544
Mailing Telephone 2166446544
Enumeration Date 2009-07-17
Last Update Date 2013-08-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 96 JONATHAN LUCAS ST
PEDIATRIC CARDIAC SURGERY
City CHARLESTON
State SC
Zip Code 29425-8900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417933193 Emmie Elizabeth Steadman Nurse Practitioner 96 Jonathan Lucas St, Suite 424, Charleston, SC 29425-8900 2005-12-15
1629687843 Mattia Rosso Psychiatry & Neurology 96 Jonathan Lucas St, Charleston, SC 29425-8900 2020-07-23
1962049429 Christina Marie Thomas Nurse Practitioner 96 Jonathan Lucas St, Charleston, SC 29425-8911 2019-12-04
1467094920 Farah Flaitz Stokes Nurse Practitioner 96 Jonathan Lucas St, Charleston, SC 29425-8900 2019-10-16
1518526565 Emily Katherine Depue Physician Assistant 96 Jonathan Lucas St, Charleston, SC 29425-8900 2019-06-12
1093374621 Anna Y Bashmakov Psychiatry & Neurology 96 Jonathan Lucas St, Charleston, SC 29425-8900 2019-06-07
1396309951 Amanda Marie Jones Physician Assistant 96 Jonathan Lucas St, Charleston, SC 29425-8900 2019-04-29
1053872150 Elizabeth Bunch Wachowicz Nurse Practitioner 96 Jonathan Lucas St, Charleston, SC 29425-8900 2019-03-29
1689135865 Annemarie Leveen Roncancio Nurse Practitioner 96 Jonathan Lucas St, Charleston, SC 29425-8900 2019-03-28
1548746803 Ismail Mikdat Kabakus Radiology 96 Jonathan Lucas St, Charleston, SC 29425-8900 2018-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607217 Krishna Bhandari Thoracic Surgery (Cardiothoracic Vascular Surgery) 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 2020-10-19
1649892456 Mary Macrae Lynch Social Worker 179 Ashley Avenue, Charleston, SC 29425 2020-05-14
1528600053 Amanda Watts Physician Assistant 135 Rutledge Ave. Msc 561, Charleston, SC 29425 2019-10-16
1851945497 Kacy Wonder Dentist 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 2019-08-01
1477114569 Justin Robert Silverman Surgery 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 2019-06-28
1740840024 Tyler Buckley Surgery 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 2019-06-18
1366001760 Rayphael Sebastian Hardy Internal Medicine 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 2019-06-10
1437718889 Samar Medani Internal Medicine Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 2019-06-10
1427617950 Emily Suzanne Nyers Internal Medicine 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 2019-06-09
1790343564 Alan Cowei Peh Psychiatry & Neurology 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 2019-06-05
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144833823 Shadi Adib Bashai Student in an Organized Health Care Education/Training Program 743 1/2 Washington St W, Charleston, WV 25302-1844 2020-08-24
1043837883 Jacey Renee Dillon Student in an Organized Health Care Education/Training Program 2119 Stoner Dr W, Charleston, IL 61920-3723 2020-06-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1629698865 Umer Muhammad Student in an Organized Health Care Education/Training Program Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 2020-04-17
1730718891 Ryan Metts Student in an Organized Health Care Education/Training Program 211 Ashley Ave Apt B, Charleston, SC 29403-6859 2020-04-02
1598393506 Khadija Naseem Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 3200 Maccorkle Avenue Southeast, Charleston, WV 25304-1208 2020-03-27
1235766411 Abhishek Yadav Student in an Organized Health Care Education/Training Program 101 29th St Se Apt 20, Charleston, WV 25304-1149 2020-03-26
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1861027815 Robert Bryce Robbins Student in an Organized Health Care Education/Training Program Search Results 171 Ashley Ave, Charleston, SC 29425-0001 2020-03-10
1700426343 Mikaela Kiser Student in an Organized Health Care Education/Training Program 3813 Staunton Ave Se Unit A, Charleston, WV 25304-1537 2020-01-12
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Competitor

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City CHARLESTON
Zip Code 29425

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Dataset Information

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.

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