DR. MATTHEW R PITTMAN (NPI# 1861621633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861621633 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R PITTMAN |
| Credential | M.D. |
| Practice Address |
4830 Knightsbridge Blvd Suite J Columbus OH 43214-2300 |
| Mailing Address |
351 Delnor Dr Geneva IL 60134-4222 |
| Practice Telephone | 6142933230 |
| Practice Fax Number | 6142934030 |
| Mailing Telephone | 6306680833 |
| Mailing Fax Number | 6306677685 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2015-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036138487 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35123279 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 125.055834 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN GROUP | 206147 | 01 |
| OK | 0104249 | 05 | |
| IL | MEDICARE PTAN INDIVIDUAL | F400237729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861871774 | Matthew Adrian Pittman | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2015-05-26 |
| Street Address |
4830 KNIGHTSBRIDGE BLVD SUITE J |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215926399 | Grant E Schmidt | Obstetrics & Gynecology | 4830 Knightsbridge Blvd, Suite E, Columbus, OH 43214-2300 | 2005-10-20 |
| 1558749747 | Boris Zevin | Surgery | 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214 | 2015-05-08 |
| 1316330673 | Reproductive Diagnostics, Inc. | Clinical Medical Laboratory | 4830 Knightsbridge Blvd, Suite D, Columbus, OH 43214-2300 | 2015-03-11 |
| 1003072448 | Sebastian Vincent Demyttenaere | Surgery | 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214-2300 | 2008-08-05 |
| 1942495205 | Andrew John Haase | Dentist | 4830 Knightsbridge Blvd, Suite L, Columbus, OH 43214-2300 | 2007-09-10 |
| 1669671921 | Simon Bergman | Surgery | 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214-2300 | 2007-07-16 |
| 1437272127 | Knightsbridge Internal Medicine & Cardiology, Inc. | Internal Medicine | 4830 Knightsbridge Blvd, Suite A, Columbus, OH 43214-2300 | 2007-04-09 |
| 1750432191 | Joseph A Haase | Dentist | 4830 Knightsbridge Blvd, Suite L, Columbus, OH 43214-2300 | 2007-01-14 |
| 1831240274 | Haase, D.d.s., Inc. | Dentist | 4830 Knightsbridge Blvd, Suite L, Columbus, OH 43214-2300 | 2007-01-14 |
| 1093889172 | Mark L Oleson | Dentist | 4830 Knightsbridge Blvd, Suite L, Columbus, OH 43214-2300 | 2006-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1972033413 | Baker Surgical Services | Surgery | 6127 Goodwin Dr, Columbus, GA 31909-4338 | 2017-06-18 |
| 1043691702 | Maegan Kellie Garcia Lazaga | Surgery | 235 W 12th Ave Rm 414, Columbus, OH 43210-1303 | 2015-06-17 |
| 1861819310 | Ryan Albert John Campagna | Surgery | 191 W 8th Ave, Columbus, OH 43201-2311 | 2014-03-22 |
| 1578908901 | Jodi Marie Oostra | Surgery | 500 Thomas Ln Ste 2b, Columbus, OH 43214-1419 | 2013-04-29 |
| 1538416144 | Aliyah Kanji | Surgery | 4830 Kinghtsbridge Boulevard, Suite J, Columbus, OH 43214 | 2012-08-14 |
| 1598029969 | James Bradley Beckham | Surgery | 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 | 2012-06-29 |
| 1043500846 | Kara Keplinger Rossfeld | Surgery | 285 E State St Ste 300, Columbus, OH 43215-4357 | 2011-04-13 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1568793164 | John David Lipson | Surgery | 12945 E 100 N, Columbus, IN 47203-9601 | 2010-01-20 |
| Find all providers in COLUMBUS | ||||
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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.