Dr David N Matisoff, MD | |
3960 Patient Care Dr, Suite 113, Lansing, MI 48911-4275 | |
(517) 484-0004 | |
(517) 484-7241 |
Full Name | Dr David N Matisoff |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 3960 Patient Care Dr, Lansing, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649263633 | NPI | - | NPPES |
350C31064 | Other | MI | BLUE CROSS BLUE SHIELD |
7500132 | Other | MI | PHP |
L3338302 | Medicaid | MI | |
40155 | Other | MI | BLUE CARE NETWORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | DM040001 (Michigan) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 4301040001 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr David N Matisoff, MD 100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560 Ph: () - | Dr David N Matisoff, MD 3960 Patient Care Dr, Suite 113, Lansing, MI 48911-4275 Ph: (517) 484-0004 |
Jeanjiko D Cuison, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5135 S Pennsylvania Ave, Lansing, MI 48911 Phone: 517-887-5922 Fax: 517-887-5982 | |
Dr. David Cervi, D.O., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Ahda Fatehi Mohammad Jbarah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-997-2000 | |
Anastasiia Sabii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-677-3520 | |
Harrietta Christodoulos, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave Ste 145, Lansing, MI 48912 Phone: 517-364-5440 Fax: 517-364-5409 | |
Dr. Renuka Gera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 E Michigan Ave, Ste 145, Lansing, MI 48912 Phone: 517-364-5449 Fax: 517-364-5409 | |
Farrokh Rahnemoon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 644 Migaldi Ln, Suite 300, Lansing, MI 48917 Phone: 517-627-6024 Fax: 517-627-9339 |