Dr. Nina Louise Mattarella
MD | Pediatrics | Female
Dr. Nina Louise Mattarella, MD is a Lincoln City, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Nina Louise Mattarella is
2870 Ne West Devils Lake Rd, Lincoln City, Oregon - 97367-5127. She can be contacted on phone at
541-994-9191 and fax number 541-994-9034.
Dr. Nina Louise Mattarella is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Nina Louise Mattarella is
1881786119 which was assigned by NPPES on 28 Sep, 2006 and it was last updated on 04 Nov, 2020.
Dr. Nina Louise Mattarella license number is
MD185106 for Pediatrics (208000000X) in Oregon.
Dr. Nina Louise Mattarella is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Nina Louise Mattarella basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Nina Louise Mattarella |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Nina Louise Mattarella 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 : | 2870 Ne West Devils Lake Rd
Lincoln City, OR, 97367-5127
United States |
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| Phone Number : | 541-994-9191 |
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| Fax Number : | 541-994-9034 |
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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 : | 1881786119 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Sep, 2006 |
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| Last Updated On : | 04 Nov, 2020 |
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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. Nina Louise Mattarella are as mentioned. Primary taxonomy code for Dr. Nina Louise Mattarella, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 4301054688 | MI |
| 208000000X | Pediatrics | Yes | MD185106 | OR |
| 208M00000X | Hospitalist | No | 4301054688 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Nina Louise Mattarella such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1881786119 | MEDICAID | MI | |
| 3503334051 | Other | MI | BCBS INDIVIDUAL PIN |
| 4796017 | MEDICAID | MI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1200 E MICHIGAN AVE STE 145,
LANSING, MI, 48912
United States | LANSING, MI | 517-364-5440 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | nmattarella145526@samhealth.direct-ci.com
| No affiliation |
|
| 2870 NE WEST DEVILS LAKE RD,
LINCOLN CITY, OR, 97367-5127
United States |
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 : | Po Box 1194
Corvallis, OR, 97339-1194
United States |
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Business Location:
Patients can refer following map for directions to
Dr. Nina Louise Mattarella 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.