DR. JOEL MICHAEL MATTA (NPI# 1982747549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982747549 |
| Entity Type | Individual |
| Full Name | DR. JOEL MICHAEL MATTA |
| Credential | M.D. |
| Practice Address |
181 W. Meadow Drive, Suite 400 Vail CO 81657 |
| Practice Telephone | 9704795843 |
| Practice Fax Number | 9702373458 |
| Mailing Telephone | 9704795843 |
| Mailing Fax Number | 9702373458 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G27855 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G278550 | 01 |
| Street Address |
181 W. MEADOW DRIVE, SUITE 400 |
| City | VAIL |
| State | CO |
| Zip Code | 81657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487635959 | Armando F. Vidal | Orthopaedic Surgery | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2005-11-10 |
| 1073121257 | Vail Summit Orthopaedics | Orthopaedic Surgery | 108 S Frontage Rd W Ste 206, Vail, CO 81657-5086 | 2020-07-14 |
| 1104110998 | Scott R Montgomery | Orthopaedic Surgery | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2011-06-09 |
| 1205120177 | Justin J Ernat | Orthopaedic Surgery | 181 W Meadow Dr, Vail, CO 81657-5242 | 2011-06-07 |
| 1891088332 | Andrew Gregory Geeslin | Orthopaedic Surgery | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2011-05-17 |
| 1417248675 | Salvatore Joseph Frangiamore | Orthopaedic Surgery | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2011-04-22 |
| 1376833251 | Jonathan Alexander Godin | Orthopaedic Surgery | 181 W Meadow Dr Ste 400, Vail, CO 81657-5058 | 2011-04-13 |
| 1932341450 | Justin T Newman | Orthopaedic Surgery | 181 W Meadow Dr, Ste 400, Vail, CO 81657-5058 | 2009-03-30 |
| 1457519795 | Craig Thomas Haytmanek Jr. | Orthopaedic Surgery | 181 W Meadow Dr Ste 400, Vail, CO 81657 | 2008-05-22 |
| 1952327835 | Steadman Clinic Professional LLC | Orthopaedic Surgery | 181 W Meadow Dr, 400, Vail, CO 81657-5242 | 2006-07-14 |
| Find all providers in VAIL | ||||
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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.