AMIRA MATTA (NPI# 1659884799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659884799 |
Entity Type | Individual |
Full Name | AMIRA MATTA |
Practice Address |
23400 Michigan Ave Ste P40 Dearborn MI 48124-1928 |
Mailing Address |
5438 Hartwell St Dearborn MI 48126-3311 |
Practice Telephone | 3136895188 |
Mailing Telephone | 3137996833 |
Enumeration Date | 2017-11-12 |
Last Update Date | 2017-11-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | MI | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 03302913 | 05 |
Street Address |
23400 MICHIGAN AVE STE P40 |
City | DEARBORN |
State | MI |
Zip Code | 48124-1928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326582420 | Chitter Chatter | Community/Behavioral Health | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2016-12-07 |
1922511757 | Kyleigh-jo Marie Lemerande | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-11-15 |
1568975498 | Georgeta Banica Manitiu | Behavioral Analyst | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-11-14 |
1255843892 | Alexandria Kay Wilburn | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-11-03 |
1326550336 | Journee Elizabeth Gautz | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-10-31 |
1962914291 | Tanekqua Drakeford | Social Worker | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-10-26 |
1760994024 | Lauren Toma | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-10-26 |
1154833630 | Kayla Saad | Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-10-24 |
1093233553 | Shonalee Dawn Hughes | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-09-05 |
1164948493 | Ashley Marie Dahl | Speech-Language Pathologist | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
Find all providers in zip 48124 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396302196 | Mariam Hassan Bazzi | Technician/Technologist | 6635 Steadman St, Dearborn, MI 48126-1758 | 2019-05-28 |
1306400320 | Taylor Scotland | Technician/Technologist | 19853 Outer Dr., Suite 110, Dearborn, MI 48124-2044 | 2019-04-24 |
1962960575 | Shaqeitrus Amere Mayfield | Technician/Technologist | 166 S Waverly St, Dearborn, MI 48124-1448 | 2019-03-04 |
1992204655 | Breonna Everett | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2018-02-08 |
1831704782 | Grace Marie Akua Bio | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-09-08 |
1235742909 | Jahaan Kohari Brittman | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-08-24 |
1457963050 | Dequan Alexander Robertson | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-08-17 |
1457961526 | Mackenzie Rae Kowalewicz | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-08-04 |
1386253375 | Paris Knox | Technician/Technologist | 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044 | 2020-07-27 |
1689207367 | Malek Rammouni | Technician/Technologist | 19853 Outer Dr, Dearborn, MI 48124-2066 | 2020-02-20 |
Find all providers in DEARBORN |
Please comment or provide details below to improve the information on AMIRA MATTA.
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.