DR. MATTHEW C. INDECK (NPI# 1124087945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124087945 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW C. INDECK |
| Credential | M.D. |
| Practice Address |
330 Nc 108 Hwy Rutherfordton NC 28139-3188 |
| Practice Telephone | 8282861743 |
| Practice Fax Number | 8282873731 |
| Mailing Telephone | 8282861743 |
| Mailing Fax Number | 8282873731 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2015-01969 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD033647E | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2015-01969 | NC | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD033647E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1124087945 | 05 |
| Street Address |
330 NC 108 HWY |
| City | RUTHERFORDTON |
| State | NC |
| Zip Code | 28139-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548675911 | Andrew Demeusy | Surgery | 330 Nc 108 Hwy, Rutherfordton, NC 28139-3188 | 2014-06-24 |
| 1366736159 | Joshua Kenneth Edgerton | Surgery | 330 Nc 108 Hwy, Rutherfordton, NC 28139-3188 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821428269 | Onas Place 1 | Day Training, Developmentally Disabled Services | 127 Gabriel Street, Rutherfordton, NC 28139 | 2013-11-21 |
| 1821297821 | H. Vanderwal Inc. | Assisted Living Facility | 401 Us 221 S Hwy, Rutherfordton, NC 28139 | 2007-07-11 |
| 1013034974 | Jay R Mee | Massage Therapist | 244 Charlotte Road, Rutherfordton, NC 28139 | 2007-03-24 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1194833855 | Rutherford Anesthesiology Associates, LLP | Anesthesiology | 288 S. Ridgecrest Avenue, Rutherfordton, NC 28139 | 2006-08-25 |
| 1316983745 | Thomas Vance Bolling | Surgery | 330 Nc Highway 108, Rutherfordton, NC 28139 | 2006-06-22 |
| 1265481865 | Kenneth Glen Miller-kallenbach | Psychiatry & Neurology | 182 West Court St, Rutherfordton, NC 28139 | 2006-05-09 |
| 1982674966 | Franklin James Mooring | Radiology | 288 South Ridgecrest, Rutherfordton, NC 28139 | 2006-01-24 |
| 1346578580 | Mission Medical Associates Inc | Internal Medicine | 128 Dr Henry Norris Dr, Rutherfordton, NC 28139 | 2009-11-30 |
| 1497907497 | Sydna Elizabeth Bougere | Counselor | 356 Charlotte Rd, Rutherfordton, NC 28139 | 2008-10-21 |
| Find all providers in zip 28139 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649718 | The Charlotte-mecklenburg Hospital Authority | Surgery | 101 E Wt Harris Blvd Ste 5500a, Charlotte, NC 28262-3485 | 2020-08-10 |
| 1912252883 | Benjamin Alkan Isserlin | Surgery | 4008 Burnett Womack, Cb#7228, Chapel Hill, NC 27599-7228 | 2012-07-17 |
| 1124234356 | Craig F. Copeland | Surgery | 3322 Starboard Way Apt 102, Fayetteville, NC 28314-2894 | 2007-05-15 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1467863480 | Wake Specialty Physicians, LLC | Surgery | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| 1083033971 | Sean Dieffenbaugher | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2014-04-08 |
| 1720333859 | Allen Hershel Tanner II | Surgery | 2301 Erwin Rd, Durham, NC 27705-4699 | 2012-07-15 |
| 1174814230 | Lauren Desiree Allen Raff | Surgery | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2011-04-25 |
| 1275763567 | Gaurav Sachdev | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-07-21 |
| 1497983589 | William Farley Powers Iv | Surgery | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2009-06-26 |
| Find all providers with the same taxonomy | ||||
| City | RUTHERFORDTON |
| Zip Code | 28139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.