MATTHEW ANTALIS (NPI# 1619470069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619470069 |
| Entity Type | Individual |
| Full Name | MATTHEW ANTALIS |
| Practice Address |
350 Hospital Way Somerset KY 42503-2872 |
| Mailing Address |
236 N Franklin St Delphos OH 45833-1745 |
| Practice Telephone | 4193027150 |
| Mailing Telephone | 4193027150 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
350 HOSPITAL WAY |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-2872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180757 | Amr Osman El-naggar | Neurological Surgery | 350 Hospital Way, Suite 270, Somerset, KY 42503-2872 | 2006-01-30 |
| 1073165544 | Makenzie Kinder | Physician Assistant | 350 Hospital Way, Somerset, KY 42503-2872 | 2019-07-15 |
| 1083110001 | Richard F Atkinson | Student in an Organized Health Care Education/Training Program | 350 Hospital Way, Somerset, KY 42503-2872 | 2018-03-30 |
| 1972008043 | Soleiman Osman | Student in an Organized Health Care Education/Training Program | 350 Hospital Way, Somerset, KY 42503-2872 | 2018-03-29 |
| 1083145874 | Travis Massengale | Family Medicine | 350 Hospital Way, Somerset, KY 42503-2872 | 2017-03-23 |
| 1558802751 | Umar Bhatti | Emergency Medicine | 350 Hospital Way, Somerset, KY 42503-2872 | 2017-03-20 |
| 1518312339 | Elizabeth Katherine Durham | Emergency Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503 | 2016-04-29 |
| 1043664774 | Rainer Allen Oliver | Emergency Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503-2872 | 2016-04-19 |
| 1679934558 | Erika Kelly | Internal Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503-2872 | 2016-03-18 |
| 1356702419 | Ryan Moss | Internal Medicine | 350 Hospital Way, Suite 101, Somerset, KY 42503-2872 | 2016-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891319117 | Zachary Taylor | Student in an Organized Health Care Education/Training Program | 109 Hill St, Somerset, KY 42501-1671 | 2020-06-02 |
| 1194349654 | Valerie Deremer | Student in an Organized Health Care Education/Training Program | 210 Clover Pointe Dr, Somerset, KY 42503-5802 | 2020-06-01 |
| 1528621497 | Sarah Catherine Mills | Student in an Organized Health Care Education/Training Program | 1004 Ferry Rd Unit 1, Somerset, KY 42503-6210 | 2019-04-17 |
| 1043743255 | Vandankumar Patel | Student in an Organized Health Care Education/Training Program | 1 John F Kennedy Blvd Apt 5c, Somerset, NJ 08873-6903 | 2017-04-05 |
| 1033526553 | Angela Pritts | Student in an Organized Health Care Education/Training Program | 169 Worthington Ln, Somerset, PA 15501-4525 | 2014-07-16 |
| 1154607042 | Isatta Sally Joseph | Student in an Organized Health Care Education/Training Program | 1140 Easton Ave Apt H, Somerset, NJ 08873-1633 | 2011-10-24 |
| 1275776098 | Rick Parsotam Vaghasiya | Student in an Organized Health Care Education/Training Program | 23 Clyde Rd Ste 101, Somerset, NJ 08873-5050 | 2009-04-09 |
| 1700041647 | Omotayo Majekodunmi | Student in an Organized Health Care Education/Training Program | 2801 Holland Dr, Somerset, NJ 08873-4657 | 2008-07-21 |
| 1316566771 | Fedwa Lutfi | Student in an Organized Health Care Education/Training Program | 303 Langdon St, Somerset, KY 42503-2750 | 2020-04-15 |
| 1952920613 | Taylor Grant Billings | Student in an Organized Health Care Education/Training Program | 303 Langdon St, Somerset, KY 42503-2750 | 2020-04-13 |
| Find all providers in SOMERSET | ||||
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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.