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Melissa Andrea Martinez Mateo

Internist Gastroenterologist

2601 W Main St
Carbondale , Illinois 62901-1031

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Melissa Andrea Martinez Mateo

Internist Gastroenterologist

2601 W Main St
Carbondale , Illinois 62901-1031

(618) 457-5200

Write a Review Save Call

Melissa Andrea Martinez Mateo

Internist Gastroenterologist

2601 W Main St
Carbondale , Illinois 62901-1031

(618) 457-5200 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Internist
  • Gastroenterologist

Languages spoken

  • English

Location

2601 W Main St Carbondale , Illinois 62901-1031

First Address

  • Melissa Andrea Martinez Mateo
  • Po Box 3988
  • Carbondale, IL
  • Zip : 62902-3988
  • Phone : (618) 457-5200

Second Address

  • Melissa Andrea Martinez Mateo
  • 2601 W Main St
  • Carbondale, IL
  • Zip : 62901-1031
  • Fax : (618) 351-4878
  • Phone : (618) 549-5361

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FAQs


Where did Melissa Andrea Martinez Mateo attend graduate school?

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Where did Melissa Andrea Martinez Mateo do her residency?

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Where did Melissa Andrea Martinez Mateo do her fellowship?

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Is Melissa Andrea Martinez Mateo board certified?

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What type of doctor is Melissa Andrea Martinez Mateo

Gastroenterologist

In what state does Melissa Andrea Martinez Mateo practice in?

Illinois

Where is Melissa Andrea Martinez Mateo ’s practice located?

2601 W Main St , Carbondale, Illinois, 62901-1031

What is Melissa Andrea Martinez Mateo ’s gender?

Female

Is Melissa Andrea Martinez Mateo a sole practitioner?

No

Is Melissa Andrea Martinez Mateo accepting new patients?

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What languages does Melissa Andrea Martinez Mateo speak?

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Does Melissa Andrea Martinez Mateo accept insurance?

Yes, Melissa Andrea Martinez Mateo accepts insurance

Does Melissa Andrea Martinez Mateo offers telemedicine?

Melissa Andrea Martinez Mateo has not indicated if she offers telemedicine

What is Melissa Andrea Martinez Mateo ’s professional license number?

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What is Melissa Andrea Martinez Mateo ’s NPI number?

1003124280

Does Melissa Andrea Martinez Mateo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207R00000X Internist 11015804A IN
N 111NI0900X Internist 11015804A IN
N 207R00000X Internist 125056433 IL
N 111NI0900X Internist 125056433 IL
Y 207RG0100X Gastroenterologist 036139158 IL

National Provider Identifier

NPI 1003124280
Provider Name Melissa Andrea Martinez Mateo
First Address Carbondale, IL 62902-3988
Second Address Carbondale, IL 62901-1031
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/09/2010
Last Update Date 25/08/2021

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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