JOHN LAURENCE DEMATTEIS NPI 1629660246

NPI Information

NPI: 1629660246
Provider Name: JOHN LAURENCE DEMATTEIS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS LLC

PECOS Registration: Yes

Address:
120 W FOX CHASE RD
ASHEVILLE, NC
ZIP 28804
Phone: (828) 273-2017
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John Laurence Dematteis is a family nurse practitioner in Asheville, NC with 4 years of experience. John Laurence Dematteis NPI is 1629660246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 W FOX CHASE RD
ASHEVILLE, NC
ZIP 28804-014
Phone: (828) 273-2017

The NPI 1629660246 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2021 and was last updated on 2/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	DEMA-A4C1M	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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