GODOFREDO L MATEO (NPI# 1912059122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912059122 |
| Entity Type | Individual |
| Full Name | GODOFREDO L MATEO |
| Credential | MD |
| Practice Address |
7226 Interlaaken Dr Sw Lakewood WA 98499-1800 |
| Practice Telephone | 2535884866 |
| Practice Fax Number | 2535884866 |
| Mailing Telephone | 2535884866 |
| Mailing Fax Number | 2535884866 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD00012743 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1100387 | 05 |
| Street Address |
7226 INTERLAAKEN DR SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702935 | Michael E. Bunzel | General Practice | 500 River Ave Ste 500, Lakewood, NJ 08701-4738 | 2020-08-28 |
| 1548473630 | Gina Marie Nelson | General Practice | 215 S Wadsworth Blvd Ste 420, Lakewood, CO 80226-1566 | 2007-05-07 |
| 1912056698 | Mile High Family Medicine Inc | General Practice | 7444 W. Alaska Dr, Suite 200, Lakewood, CO 80226-3328 | 2007-01-10 |
| 1316096787 | Stephen D Clift | General Practice | 7519 100th Ave Sw, Lakewood, WA 98498-3343 | 2007-01-08 |
| 1073626297 | David Patron Patron | General Practice | 956 S Cole Dr, Lakewood, CO 80228-3078 | 2006-08-15 |
| 1770116808 | Lisa Jo Brown | General Practice | 4115 South St, Lakewood, CA 90712-1043 | 2020-02-17 |
| 1205475738 | Woo-ming Medical Group, PC | General Practice | 4115 South St, Lakewood, CA 90712-1043 | 2020-01-01 |
| 1255843876 | Friendly Urgent Care, LLC | General Practice | 1091 River Ave, Lakewood, NJ 08701-5641 | 2017-11-05 |
| 1649643420 | Ocean Health Initiatives,inc | General Practice | 855 Somerset Ave, Lakewood, NJ 08701-2127 | 2015-11-03 |
| 1225327075 | Brittany Michelle Millard-hasting | General Practice | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2011-04-01 |
| Find all providers in LAKEWOOD | ||||
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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.