Mattalino Orthopaedic Sports Surgical Specialists, LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

17728 Issued in AZ

Legal business name

MATTALINO ORTHOPAEDIC SPORTS SURGICAL SPECIALISTS, LLC

Practice address

2222 E Highland Ave
Suite 425
Phoenix, AZ 85016-4872

Phone

(602) 667-6640

Fax

(602) 667-6625

NPI assigned

Feb 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angelo Mattalino, MD

Title

Owner

Phone

(602) 321-5896

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1543/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1841682309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-667-6640",
            "fax_number": "602-667-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 425",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-667-6640",
            "fax_number": "602-667-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTALINO ORTHOPAEDIC SPORTS SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "MATTALINO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-321-5896",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "17728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane K Matsumoto, MD
• Curtis Matsuura
• Molly D Matt-Gongora
• Shirley A. Matt, LISAC
• Samantha Matta, DO
• Shadi Daniel Mattar, DPM
• Kelsey Mattas, DACHM, LAC
• Terrence M Matteo, PH.D.
• Cameron Michele Mattern
• Thomas Michael Mattern, D.D.S.

• Sports Medicine (Orthopaedic Surgery) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.