Dr. David N Matisoff
MD | Pediatric Cardiology | Male
Dr. David N Matisoff, MD is a Lansing, Michigan based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. David N Matisoff is
3960 Patient Care Dr, Suite 113, Lansing, Michigan - 48911-4275. He can be contacted on phone at
517-484-0004 and fax number 517-484-7241.
Dr. David N Matisoff is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. David N Matisoff is
1649263633 which was assigned by NPPES on 25 Aug, 2005 and it was last updated on 29 Feb, 2016.
Dr. David N Matisoff license number is
4301040001 for Pediatrics Pediatric Cardiology (2080P0202X) in Michigan.
Dr. David N Matisoff provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. David N Matisoff basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Dr. David N Matisoff |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. David N Matisoff address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3960 Patient Care Dr, Suite 113
Lansing, MI, 48911-4275
United States |
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| Phone Number : | 517-484-0004 |
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| Fax Number : | 517-484-7241 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649263633 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Aug, 2005 |
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| Last Updated On : | 29 Feb, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. David N Matisoff are as mentioned. Primary taxonomy code for Dr. David N Matisoff, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | No | DM040001 | MI |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 4301040001 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. David N Matisoff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| L3338302 | MEDICAID | MI | |
| 40155 | Other | MI | BLUE CARE NETWORK |
| 7500132 | Other | MI | PHP |
| 350C31064 | Other | MI | BLUE CROSS BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Michigan St Ne, Mc 845
Grand Rapids, MI, 49503-2560
United States |
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Business Location:
Patients can refer following map for directions to
Dr. David N Matisoff practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.