Active NPI
Gilda Isabel Mateo, MD
- Pediatrics Physician
- Youngstown, OH
National Provider Identifier
1164412599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.064751
- Practice address
- 1044 Belmont Ave
St. Elizabeth Ambulatory Care
Youngstown, OH 44504-1006 - Phone
- (330) 480-3257
- Fax
- (330) 480-2031
- NPI assigned
- Oct 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.064751 | OH | Primary |
Addresses
Primary practice location
1044 Belmont Ave
St. Elizabeth Ambulatory Care
Youngstown, OH 44504-1006
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 480-3257
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmateo13574@direct.chmca.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.064751 | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1164412599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-480-3257",
"fax_number": "330-480-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 BELMONT AVE",
"address_2": "ST. ELIZABETH AMBULATORY CARE",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041006",
"telephone_number": "330-480-3257",
"fax_number": "330-480-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO",
"first_name": "GILDA",
"middle_name": "ISABEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.064751",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmateo13574@direct.chmca.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1044 Belmont Ave",
"address_2": "St. Elizabeth Ambulatory Care",
"city": "Youngstown",
"state": "OH",
"country_code": "US",
"postal_code": "445041006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.