DENISE PINE-MATTAS (NPI# 1659313989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659313989 |
| Entity Type | Individual |
| Full Name | DENISE PINE-MATTAS |
| Credential | MD |
| Practice Address |
410 N 2nd St Marshall IL 62441-1010 |
| Mailing Address |
Po Box 2505 Indianapolis IN 46206-2505 |
| Practice Telephone | 2178262361 |
| Practice Fax Number | 2178262366 |
| Mailing Telephone | 8122387783 |
| Mailing Fax Number | 8122384506 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01060692A | IN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036114511 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | P00459732 | 01 |
| IN | RR MEDICARE | P00459735 | 01 |
| IN | 200876850 | 05 | |
| IL | 036114511 | 05 |
| Street Address |
410 N 2ND ST |
| City | MARSHALL |
| State | IL |
| Zip Code | 62441-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867373 | Steven Macke | Family Medicine | 410 N 2nd St, Marshall, IL 62441-1010 | 2005-11-02 |
| 1801448816 | Marshall Rehabilitation and Nursing LLC | Skilled Nursing Facility | 410 N 2nd St, Marshall, IL 62441-1010 | 2019-07-10 |
| 1528415171 | Burnsides Community Health Center, Nfp | Durable Medical Equipment & Medical Supplies | 410 N 2nd St, Marshall, IL 62441-1010 | 2016-05-24 |
| 1104235845 | Brandi Renee York | Occupational Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2014-08-06 |
| 1972911220 | Holly Newkirk | Physical Therapy Assistant | 410 N 2nd St, Marshall, IL 62441-1010 | 2014-07-31 |
| 1194086413 | Marshall Physical Therapy, LLC | Physical Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2012-06-04 |
| 1194045849 | Union Associated Physicians Clinic, LLC | Urology | 410 N 2nd St, Marshall, IL 62441-1010 | 2010-06-04 |
| 1477870772 | Terre Haute Medical Laboratory, Inc. | Clinical Medical Laboratory | 410 N 2nd St, Marshall, IL 62441-1010 | 2010-04-26 |
| 1942537188 | Kinetic Rehab LLC | Physical Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2009-11-09 |
| 1629248240 | Steven G Metternich | Physical Therapist | 410 N 2nd St, Marshall, IL 62441-1010 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315806 | Jacob Hoelscher | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| 1023678521 | Human Resources Center of Edgar and Clark Counties | Counselor | 406 North 2nd Street, Marshall, IL 62441 | 2019-06-17 |
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1679793871 | Anita Yvonne Eirhart | Massage Therapist | 1408 N Michigan Ave, Marshall, IL 62441 | 2007-04-27 |
| 1285851188 | Wellum Chiropractic Center Inc | Chiropractor | 1602 Illinois Hwy 1, Marshall, IL 62441 | 2007-04-20 |
| 1902940513 | Marilyn Sue Patton | Massage Therapist | 121 South 6th Street, Suite B, Marshall, IL 62441 | 2007-02-16 |
| 1760536148 | William Lee King | Chiropractor | 511 Locust Street, Marshall, IL 62441 | 2007-01-22 |
| 1558455964 | Alan D Reed | Pharmacy | 813 N 2nd St, Marshall, IL 62441 | 2006-10-03 |
| 1619981081 | William O Worthington | Physical Therapist | 410 N Second Street, Marshall, IL 62441 | 2006-07-28 |
| 1063012813 | Erica Diane Weber | Pharmacist | 108 Kyden Drive, Marshall, IL 62441 | 2020-10-30 |
| Find all providers in zip 62441 | ||||
| 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 |
|---|---|---|---|---|
| 1760950737 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 1602 Il Hwy 1, Marshall, IL 62441 | 2018-11-08 |
| 1336525666 | Idriss Ibrahim | Family Medicine | 309 E College Dr, Marshall, MN 56258-2379 | 2015-08-10 |
| 1417362039 | Melissa Kay Gates | Family Medicine | 1174 W Michigan Ave Ste A, Marshall, MI 49068-1625 | 2014-06-23 |
| 1114362902 | Charity U Eko | Family Medicine | 815 S Washington Ave Ste 303, Marshall, TX 75670-5358 | 2013-05-07 |
| 1033457429 | Richard Raynor | Family Medicine | 2105 E Watermill Rd, Marshall, MO 65340-4684 | 2013-01-21 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1669619441 | Mark D Richardson Md PC | Family Medicine | 215 E Mansion St Ste 1e, Marshall, MI 49068-1167 | 2009-01-15 |
| 1134307663 | Philip Rutherford Glotfelty IIi | Family Medicine | 635 N Linden St, Marshall, MI 49068-1054 | 2008-02-06 |
| 1104011295 | Mid-missouri Family Health, LLC | Family Medicine | 78 S. Jefferson, Marshall, MO 65340 | 2007-09-11 |
| 1790983609 | Jamie Lynn Longhurst | Family Medicine | 215 E Mansion St Ste 2a, Marshall, MI 49068 | 2007-07-03 |
| Find all providers in MARSHALL | ||||
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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.