AYAZ MATIN (NPI# 1801087978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801087978 |
| Entity Type | Individual |
| Full Name | AYAZ MATIN |
| Credential | MD |
| Practice Address |
701 Ostrum St Suite 201 Fountain Hill PA 18015-1155 |
| Mailing Address |
Po Box 95000-2433 Philadelphia PA 19195-2433 |
| Practice Telephone | 4845267575 |
| Practice Fax Number | 4845267576 |
| Mailing Telephone | 4845267575 |
| Mailing Fax Number | 4845267576 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2012-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD432229 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD432229 | PA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
262338 | NY | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD432229 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102003837 | 05 |
| Street Address |
701 OSTRUM ST SUITE 201 |
| City | FOUNTAIN HILL |
| State | PA |
| Zip Code | 18015-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869710 | Robert S Gayner | Internal Medicine | 701 Ostrum St, Suite 602, Fountain Hill, PA 18015-1155 | 2005-05-23 |
| 1417571720 | Daniel George Franey | Surgery | 701 Ostrum St, Fountain Hill, PA 18015-1155 | 2020-06-02 |
| 1295359594 | Anthony Patrick Allsbrook | Surgery | 701 Ostrum St, Fountain Hill, PA 18015-1155 | 2020-06-02 |
| 1346782182 | Robbie S Hicks | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-11-10 |
| 1265983522 | Alexandra Therese Heavilon | Physician Assistant | 701 Ostrum St, Suite 403, Fountain Hill, PA 18015-1155 | 2016-10-20 |
| 1295285773 | Jacqueline Edwards | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2016-10-10 |
| 1144693284 | Ellyn Yackanicz | Physician Assistant | 701 Ostrum St, Suite 603, Fountain Hill, PA 18015-1155 | 2015-11-12 |
| 1528430931 | Hayley Rose Stauffer | Physician Assistant | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2015-10-25 |
| 1063880961 | Faith Burns | Physician Assistant | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2015-09-09 |
| 1003218777 | Breanna Little | Physician Assistant | 701 Ostrum St, Suite 302, Fountain Hill, PA 18015-1155 | 2014-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253120 | Lorrette Ayers | Social Worker | St. Luke's Hospice, 2455 Black River Road, Bethlehem, PA 18015 | 2020-04-10 |
| 1982246278 | Hannah Do | Pharmacist | 817 E 4th St Apt 1, Bethlehem, PA 18015 | 2019-10-08 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1437710076 | Samuel Schadt | Student in an Organized Health Care Education/Training Program | St. Luke's University Hospital, 801 Ostrum Street, Bethlehem, PA 18015 | 2019-06-25 |
| 1437716537 | Rachael Kramer | Counselor | 825 Delaware Avenue, Bethlehem, PA 18015 | 2019-05-23 |
| 1891358172 | Marko Yacoub | Dentist | 511 E 3rd Street, Fowler Bldg Suite 301, Bethlehem, PA 18015 | 2019-04-22 |
| 1649749748 | Chelsea Marie Breimann | Counselor | 826 Deleware Avenue, Fountain Hill, PA 18015 | 2018-11-19 |
| 1780179986 | Megan Minor | Emergency Medicine | 801 Ostrum St Ste 1, Bethlehem, PA 18015 | 2018-06-29 |
| 1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
| 1669901476 | Swati Agnihotri | Dentist | 511 E. 3rd Street Fowler Bldg, Suite 301, Bethlehem, PA 18015 | 2017-06-06 |
| Find all providers in zip 18015 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441354 | Joseph J Minissale Jr. | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2005-07-20 |
| 1679820096 | St. Luke's Physician Group, Inc. | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2012-08-06 |
| 1952664989 | Diana Marie Jaiyeola | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2012-06-25 |
| 1588947469 | Zheng Lin | Internal Medicine | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2011-09-27 |
| 1861788531 | Sarina Kapoor | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-06-21 |
| 1477842912 | Gurshawn Singh | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-04-05 |
| 1043509037 | Yecheskel Schneider | Internal Medicine | 701 Ostrum St Ste 201, Fountain Hill, PA 18015-1152 | 2011-03-31 |
| 1417283219 | Ronak S Modi | Internal Medicine | 701 Ostrum St, Suite 201, Fountain Hill, PA 18015-1155 | 2009-10-29 |
| 1376781492 | Berhanu M Geme | Internal Medicine | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2009-01-27 |
| 1194940601 | Sinan Kutty | Internal Medicine | 701 Ostrum St, Suite 601, Fountain Hill, PA 18015-1155 | 2007-04-17 |
| Find all providers in FOUNTAIN HILL | ||||
| City | FOUNTAIN HILL |
| Zip Code | 18015 |
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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.