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Anthony M Mattera

Family Doctor - Geriatric Medicine

732 Royal Dublin Ln
Dyer , Indiana 46311-1273

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Anthony M Mattera

Family Doctor - Geriatric Medicine

732 Royal Dublin Ln
Dyer , Indiana 46311-1273

(219) 227-9077

Write a Review Save Call

Anthony M Mattera

Family Doctor - Geriatric Medicine

732 Royal Dublin Ln
Dyer , Indiana 46311-1273

(219) 227-9077 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

732 Royal Dublin Ln Dyer , Indiana 46311-1273

First Address

  • Anthony M Mattera
  • 732 Royal Dublin Ln
  • Dyer, IN
  • Zip : 46311-1273
  • Fax : (219) 227-9077
  • Phone : (708) 705-0123

Second Address

  • Anthony M Mattera
  • 732 Royal Dublin Ln
  • Dyer, IN
  • Zip : 46311-1273
  • Fax : (219) 365-1398
  • Phone : (219) 864-2235

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FAQs


Where did Anthony M Mattera attend graduate school?

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Where did Anthony M Mattera do his residency?

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Where did Anthony M Mattera do his fellowship?

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Is Anthony M Mattera board certified?

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What type of doctor is Anthony M Mattera

Family Doctor - Geriatric Medicine

In what state does Anthony M Mattera practice in?

Indiana

Where is Anthony M Mattera ’s practice located?

732 Royal Dublin Ln , Dyer, Indiana, 46311-1273

What is Anthony M Mattera ’s gender?

Male

Is Anthony M Mattera a sole practitioner?

No

Is Anthony M Mattera accepting new patients?

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What languages does Anthony M Mattera speak?

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Does Anthony M Mattera accept insurance?

Yes, Anthony M Mattera accepts insurance

Does Anthony M Mattera offers telemedicine?

Anthony M Mattera has not indicated if he offers telemedicine

What is Anthony M Mattera ’s professional license number?

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What is Anthony M Mattera ’s NPI number?

1013909068

Does Anthony M Mattera have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QG0300X Family Doctor - Geriatric Medicine 02000262 IN
N 207QG0300X Family Doctor - Geriatric Medicine 036039136 IL

National Provider Identifier

NPI 1013909068
Provider Name Anthony M Mattera
First Address Dyer, IN 46311-1273
Second Address Dyer, IN 46311-1273
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/08/2005
Last Update Date 20/01/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036039136 (05) IL
D11429 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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