GAYNELL P MATHERNE (NPI# 1679642201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679642201 |
| Entity Type | Individual |
| Full Name | GAYNELL P MATHERNE |
| Credential | MD |
| Practice Address |
1204 W Main St Charlottesville VA 22903-2824 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349240123 |
| Practice Fax Number | 4342433300 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0101042125 | VA | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
0101042125 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1204 W MAIN ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980287 | Ann Lenox Kellams | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2005-08-31 |
| 1982210357 | Olivia Oriana Obertello | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-21 |
| 1417563180 | Caitlin E Anderson | Psychologist | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-18 |
| 1821611286 | Mackenzie Trapp | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-05-20 |
| 1740836287 | Sarah Burnett | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-08-12 |
| 1609439207 | Meredith Jordan | Student in an Organized Health Care Education/Training Program | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-04-18 |
| 1376007328 | Kaitlyn Geib | Nurse Practitioner | 1204 W Main St, Charlottesville, VA 22903-2824 | 2019-01-24 |
| 1275017147 | Haley F. Stephens | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-09-18 |
| 1114414919 | Shelley Towner | Genetic Counselor, MS | 1204 W Main St, Charlottesville, VA 22903-2824 | 2018-04-17 |
| 1891291944 | Elina Bank | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144547449 | Michael R. Hainstock | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-04-26 |
| 1750605374 | Shelby C. White | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2010-03-25 |
| 1134396252 | Peter N. Dean | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2008-05-08 |
| 1073702122 | Jeffrey E. Vergales | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-10-15 |
| 1073721742 | Shetarra Walker | Pediatrics | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-05-18 |
| 1033324488 | Michael A Mcculloch | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-05-11 |
| 1295773315 | Thomas J Lecuyer | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-06-02 |
| 1437196458 | George M Mcdaniel | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1891073110 | Aron K Mccloud | Pediatrics | 629 Cedar Creek Grade Ste B, Winchester, VA 22601-2786 | 2011-08-03 |
| 1346566189 | Kalpana Thammineni | Pediatrics | 171 Elden Street, 200, Herndon, VA 20170 | 2010-04-19 |
| 1710216734 | Richard Merrill Schieken | Pediatrics | 422 September Dr, Richmond, VA 23229-7318 | 2009-12-22 |
| 1447210802 | Jonathan Todd Fleenor | Pediatrics | 601 Children's Lane, Norfolk, VA 23507 | 2006-03-27 |
| 1750369351 | Alan Eric Benheim | Pediatrics | 8500 Executive Park Ave Ste 110, Fairfax, VA 22031-2228 | 2006-01-04 |
| 1487170841 | Bluefield Pediatric Cardiology Associates | Pediatrics | 2221 W Cumberland Rd, Bluefield, VA 24605 | 2017-08-17 |
| 1265898142 | Blue Ridge Medical Management Corporation | Pediatrics | 16000 Johnston Memorial Dr, Suite 312e, Abingdon, VA 24211-7664 | 2016-01-08 |
| 1558747592 | Pediatric Cardiology of Central Virginia PC | Pediatrics | 7603 Forest Ave, Suite 401, Richmond, VA 23229-4942 | 2015-07-31 |
| 1033519855 | Casa Pediatrics | Pediatrics | 14130 Noblewood Plz, Suite 306, Woodbridge, VA 22193-1464 | 2014-08-28 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.