MEDICARE: DANIEL PATRICK MATTIMORE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207L00000X	Anesthesiology Physician	2025-01436	NC
3	207L00000X	Anesthesiology Physician	ME179738	FL

General Provider Information

NPI Number	:	1073190344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL PATRICK MATTIMORE MD

Provider Business Mailing Address
First Line	:	DUMC 3094
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	DUMC 3094
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-8111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	06/03/2026

Similar Medicare Providers

1164506036 — JOHN JOSEPH VILLANI
Practice Location Address:

2100 ERWIN RD
DURHAM, NC
27710-0001

Practice Phone: 919-620-4467
Practice Fax:

1518546936 — THOMAS MICHAEL PENDER MD
Practice Location Address:

DEPARTMENT OF RADIOLOGY , BOX 3808 DUMC
DURHAM, NC
27710-0001

Practice Phone: 919-684-2711
Practice Fax:

1518020387 — VIRGINIA LABELLE N.P.
Practice Location Address:

2100 ERWIN RD
DURHAM, NC
27710-0001

Practice Phone: 919-684-8111
Practice Fax:

1124020292 — SUSAN HILL LCSW
Practice Location Address:

ERWIN RD
DURHAM, NC
27710-0001

Practice Phone: 919-995-7943
Practice Fax:

1922004191 — DR. JAMES REGINALD KELLY MD, MBA
Practice Location Address:

DUMC 3022 , WALLACE CLINIC
DURHAM, NC
27710-0001

Practice Phone: 919-660-6746
Practice Fax: 919-681-4849

1821094509 — DUKE UNIVERSITY HEALTH SYSTEM, INC.
Practice Location Address:

2301 ERWIN ROAD
DURHAM, NC
27710-0001

Practice Phone: 919-684-8111
Practice Fax: 919-620-4921

Directions to “ DANIEL PATRICK MATTIMORE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.