| John Mattarella, CRNA | |
|
35220 Curtis Rd, Livonia, MI 48152-2900 | |
| (734) 241-3891 | |
| (734) 241-0014 |
| Full Name | John Mattarella |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 35220 Curtis Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720068166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704134134 (Michigan) | Primary |
| Entity Name | William Beaumont Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811044878 PECOS PAC ID: 9335051093 Enrollment ID: O20040312000217 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Mailing Address | Practice Location Address |
|---|---|
| John Mattarella, CRNA 35220 Curtis Rd, Livonia, MI 48152-2900 Ph: (734) 241-3891 | John Mattarella, CRNA 35220 Curtis Rd, Livonia, MI 48152-2900 Ph: (734) 241-3891 |
Nicole Trublowski, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-786-2317 | |
Ashley Staubin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Avis J Dorsey, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12031 Cardwell St, Livonia, MI 48150 Phone: 248-982-7385 | |
Misty Tyburski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Sheri Sparkman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 5 Mile Rd, Livonia, MI 48154 Phone: 734-655-2022 | |
Sarah Krater, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-4800 | |
Andrea Kline Ozimek, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-2031 |