Dr John Opata Mate-kole, MD | |
6500 Standing Boy Rd, Unit 24, Columbus, GA 31904-3331 | |
(571) 331-5310 | |
Not Available |
Full Name | Dr John Opata Mate-kole |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 6500 Standing Boy Rd, Columbus, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558374371 | NPI | - | NPPES |
100073470 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 056756 (Georgia) | Secondary |
208000000X | Pediatrics | 68235 (Wisconsin) | Primary |
Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
Entity Name | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Entity Name | Mount Lassen Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730598590 PECOS PAC ID: 6305160227 Enrollment ID: O20150126001140 |
Entity Name | Meadows Multispecialty Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952990533 PECOS PAC ID: 6002223484 Enrollment ID: O20210407000556 |
Mailing Address | Practice Location Address |
---|---|
Dr John Opata Mate-kole, MD 6500 Standing Boy Rd, Unit 24, Columbus, GA 31904-3331 Ph: (571) 331-5310 | Dr John Opata Mate-kole, MD 6500 Standing Boy Rd, Unit 24, Columbus, GA 31904-3331 Ph: (571) 331-5310 |
Subhendu De, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1311 | |
Feoderis N Basilio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 14th St, Columbus, GA 31901 Phone: 706-507-5437 Fax: 706-507-5499 | |
Dr. Barbara Lynn Menchan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 10th Ave, Suite 400, Columbus, GA 31901 Phone: 706-660-2932 Fax: 706-660-2935 | |
Dr. Cheryl Carroll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-327-1159 | |
Mrs. Kelli B Whitted, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Brookstone Centre Pkwy, Columbus, GA 31904 Phone: 706-571-9699 Fax: 706-571-9565 | |
Erik A. Heiss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-576-9714 | |
David H Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1002 Fax: 706-660-6504 |