DENISE PINE-MATTAS


Address: 410 N 2nd St, Marshall, IL 62441-1010
Phone: 2178262361

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL RR MEDICARE P00459732 01
IN RR MEDICARE P00459735 01
IN 200876850 05
IL 036114511 05

Office Location

Street Address 410 N 2ND ST
City MARSHALL
State IL
Zip Code 62441-1010

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MARSHALL
Zip Code 62441

Improve Information

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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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