Elizabeth S. Mateos-Tiongco
Organization Active NPI Obstetrics & Gynecology Physician · Lyons, IN
NPI 1093099012 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1093099012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01033055A (IN)
- Legal business name
- ELIZABETH S. MATEOS-TIONGCO
- Practice address
- 195 E Broad St
Lyons, IN 47443-9502 - Phone
- (812) 659-2030
- Fax
- (812) 659-7601
- NPI assigned
- Oct 10, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Elizabeth Sanchez Mateos, M.D.
- Title
- Owner
- Phone
- (812) 659-2030
Practitioners 1
-
Elizabeth Sanchez Mateos, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | 01033055A | IN | Yes |
| Obstetrics & Gynecology Physician |
207V00000X | 01033055B | IN |
Addresses
Primary practice location
195 E Broad St
Lyons, IN 47443-9502
Mailing address
PO Box 236
Lyons, IN 47443-0236
Phone (812) 659-2030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100124750A | Medicaid | IN | |
| 160025634 | Other | IN | RAILROAD MED |
| 1790783637 | Other | IN | COMMERICAL |
| 000000084916 | Other | IN | BCBS |
Other providers in Lyons, IN
- David Arthur
- Thomas Edwin Bailey
- Helene Jacinthe Barrette Bailey
- Benjamin Cox
- Dorothy Freeman
- Green Dental
- Brooks Andrew Green
- Gordon Keith Green
- Stephanie Heinrich
All providers in Lyons, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.