Tania M Mattioli (NPI# 1396184362, PAC ID# 5890939326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396184362 |
| PAC ID by PECOS | 5890939326 |
| Professional Enrollment ID | I20130923000539 |
| Full Name | Tania M Mattioli |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
1710 Kernersville Medical Pkwy Suite 210 Kernersville NC 27284-7157 |
| Phone Number | 3365644065 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7157 | 3365644065 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Shannon M. Roche | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Street Address |
1710 KERNERSVILLE MEDICAL PKWY SUITE 210 |
| City | KERNERSVILLE |
| State | NC |
| Zip | 27284-7157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Thomas | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7157 |
| Amanda K Smith | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7157 |
| Judith O Hopkins | Medical Oncology | Forsyth Memorial Hospital Inc | 1710 Kernersville Medical Pkwy, Suite 116, Kernersville, NC 27284-7156 |
| Charles Kofi Agbemabiese | Internal Medicine | Forsyth Memorial Hospital Inc | 1710 Kernersville Medical Pkwy, Suite 116, Kernersville, NC 27284-7156 |
| Megan P Hulen | Nurse Practitioner | Forsyth Memorial Hospital Inc | 1710 Kernersville Medical Pkwy, Suite 205, Kernersville, NC 27284-7156 |
| Alyssa Janel Zurbano Marrero | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7157 |
| Joyce P Eury | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 1710 Kernersville Medical Pkwy, Suite 210, Kernersville, NC 27284-7157 |
| James Dasher | General Surgery | Novant Medical Group Inc | 1710 Kernersville Medical Pkwy, Suite 202, Kernersville, NC 27284-7156 |
| Thomas Raymond Walsh | General Surgery | Novant Medical Group Inc | 1710 Kernersville Medical Pkwy, Suite 220, Kernersville, NC 27284-7156 |
| Kameliya Radoslavova Hristova | Physician Assistant | Forsyth Memorial Hospital Inc | 1710 Kernersville Medical Pkwy, Kernersville, NC 27284-7156 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Kelly | Family Medicine | 420 W Mountain St, Kernersville, NC 27284-2534 | |
| Matthew C Mcintyre | Chiropractic | 432 A W Mountain St, Kernersville, NC 27284-2534 | |
| Joann Marie Governale | Clinical Social Worker | 110 Hepler St, Suite B, Kernersville, NC 27284-2793 | |
| Darian J Smith | Chiropractic | 127 N Main St, Kernersville, NC 27284-2815 | |
| Darian L Smith | Chiropractic | 127 N Main St, Kernersville, NC 27284-2815 | |
| Adam D Meylor | Chiropractic | 205 N Cherry St, Kernersville, NC 27284-2825 | |
| Tiffany S Gibson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Shauna Jarrett | Nurse Practitioner | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Alexei Radiontchenko | Family Medicine | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Bilal Muzaffar | Rheumatology | Forsyth Memorial Hospital Inc | 291 Broad St, Kernersville, NC 27284-2932 |
| Find all physicians in zip 27284 | |||
| City | KERNERSVILLE |
| Zip Code | 27284 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KERNERSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tania M Mattioli.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.