Danielle Matta (NPI# 1760774327, PAC ID# 7012289929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1760774327 |
| PAC ID by PECOS | 7012289929 |
| Professional Enrollment ID | I20170826000443 |
| Full Name | Danielle Matta |
| Organization Legal Name | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC |
| Address |
13681 Doctor Way Fort Myers FL 33912-4300 |
| Phone Number | 2393431000 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3274858295 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100220 | GULF COAST MEDICAL CENTER LEE MEM HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 13681 Doctor Way, Fort Myers, FL 33912-4300 | 2393431000 | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC |
| 3680 Broadway, Fort Myers, FL 33901-8005 | 2399362316 | RADIOLOGY REGIONAL CENTER PA |
| 6140 Winkler Rd, Suite A, Fort Myers, FL 33919-8188 | 2399362316 | RADIOLOGY REGIONAL CENTER PA |
| Organization Legal Name | RADIOLOGY REGIONAL CENTER PROFESSIONAL SERVICES LLC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian S Vankirk | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 31022 Troutdale Ridge Rd, Evergreen, CO 80439-7734 |
| Cynthia L Wallentin | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 239 Garden City Dr, Cranston, RI 02920-8215 |
| Celine Melitz | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 9943 Fieldthorn St, San Diego, CA 92127-4415 |
| David J Spirer | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 770 Dunhill Dr, Buffalo Grove, IL 60089-1515 |
| Dawn N Delavallade | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 1946 Lake Roberts Landing Dr, Winter Garden, FL 34787-5579 |
| Barry S Highbloom | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 17655 Bridgeway Circle Dr, Chesterfield, MO 63005-4219 |
| Jay H Donohoo | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 01641 Sw Comus St, Portland, OR 97219-7858 |
| James S Rickards | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 1266 Nw Countryside Ct, Mcminnville, OR 97128-9528 |
| John D Mcarthur | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 4610 E Cerro De Aguila, Tucson, AZ 85718-6931 |
| Christopher S Lawton | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 220 Fliva Ave Nw, Fort Walton Beach, FL 32548-4257 |
| Street Address |
13681 DOCTOR WAY |
| City | FORT MYERS |
| State | FL |
| Zip | 33912-4300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stuart A Bobman | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Thomas A Elkins | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| William B Hearn | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Viswanathan Nagarajan | Internal Medicine | Cape Coral Hospitalists Inc | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Gary Patrick | Certified Registered Nurse Anesthetist (crna) | Anesthesia and Pain Consultants of Sw Fl | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Victor O Macias | Internal Medicine | Cape Coral Hospitalists Inc | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Gregory P Fairchok | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Jerilee Emma Lomas | Internal Medicine | Hni Medical Services of Florida, LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Alfonso Garcia Bello | Internal Medicine | Cape Coral Hospitalists Inc | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Eric E Vensel | Diagnostic Radiology | Radiology Regional Center Professional Services LLC | 13681 Doctor Way, Fort Myers, FL 33912-4300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashish G Sharma | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Joseph P Walker | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Nadia Ameena Kazim | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Glenn L Wing | Ophthalmology | Retina Consultants of Southwest Florida, Pa | 6901 International Ctr Blvd, Ft Myers, FL 33912 |
| Christine Lynn Hoch | Chiropractic | 8971 Daniels Ctr Dr, Unit 304, Fort Myers, FL 33912-0310 | |
| Petra D Debolt | Nurse Practitioner | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| William Phifer | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Arlette Martell Muniz | Internal Medicine | Millennium Physician Group LLC | 8911 Daniels Pkwy, Suite 7, Fort Myers, FL 33912-0872 |
| Zunia Garcia Padron | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Barbara J Ossorio | Nurse Practitioner | Mandh Med Housecalls LLC | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 |
| Find all physicians in zip 33912 | |||
| City | FORT MYERS |
| Zip Code | 33912 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT MYERS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Danielle Matta.
| 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.