MATTHEW RODERICK (NPI# 1144608290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144608290 |
| Entity Type | Individual |
| Full Name | MATTHEW RODERICK |
| Credential | O.M.D., L.AC. |
| Practice Address |
2675 Windmill Pkwy Apt 421 Henderson NV 89074 |
| Mailing Address |
2675 Windmill Pkwy Apt 421 Henderson NV 89074-3395 |
| Practice Telephone | 5169787799 |
| Mailing Telephone | 5169787799 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 2014 | NV | Other Service Providers |
| N | 171100000X | Acupuncturist | AC 16544 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518204494 | Matthew Roderick | Pharmacist | 2750 Sw Martin Downs Blvd, Palm City, FL 34990-6019 | 2013-01-11 |
| Street Address |
2675 WINDMILL PKWY APT 421 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| 1295129559 | Encompass Home Health of The West, LLC | Home Health | 8905 S Pecos Rd Ste 24a, Henderson, NV 89074 | 2015-03-25 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710497045 | Vimolroj Osathanugrah | Acupuncturist | 2611 Nantucket Ave, Henderson, NV 89074-1927 | 2017-09-29 |
| 1831532985 | Sean Russell | Acupuncturist | 129 W Lake Mead Pkwy Ste 2, Henderson, NV 89015-7055 | 2013-04-08 |
| 1871642504 | J. Troy-ann Krebs | Acupuncturist | 9528 E 112th Pl, Henderson, CO 80640-9349 | 2007-01-10 |
| 1366490468 | Farolyn Anne Mcsweeney | Acupuncturist | 8975 S Pecos Rd, Suite 8c, Henderson, NV 89074-7160 | 2006-05-04 |
| 1205493244 | True Health Acupuncture LLC | Acupuncturist | 1481 W Warm Springs Rd Ste 129, Henderson, NV 89014-7636 | 2019-05-24 |
| 1700391984 | Henderson Healing Hub, LLC | Acupuncturist | 522 Main St, Henderson, MN 56044-7709 | 2017-12-09 |
| 1235599077 | Jennifer L Kolter | Acupuncturist | 522 Main St, Henderson, MN 56044-7709 | 2016-03-04 |
| 1245624485 | Angela Stueber | Acupuncturist | 1481 W Warm Springs Rd Ste 129, Henderson, NV 89014-7636 | 2015-03-25 |
| 1164868006 | Sean Russell, O.m.d., Pllc | Acupuncturist | 129 W Lake Mead Pkwy Ste 2, Henderson, NV 89015-7055 | 2013-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523166 | Grace Seong Eun Im | Acupuncturist | 3030 S Jones Blvd Ste 107, Las Vegas, NV 89146-6793 | 2020-09-23 |
| 1184254138 | Jae Eun Jeong | Acupuncturist | 8993 W Flamingo Rd Ste 102, Las Vegas, NV 89147-0440 | 2020-01-17 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1649811878 | Humberto Restrepo | Acupuncturist | 5594 S Fort Apache Rd, Las Vegas, NV 89148-3610 | 2019-09-29 |
| 1992269278 | Susan Leigh Rosenberger | Acupuncturist | 9345 S Cimarron Rd Ste 115, Las Vegas, NV 89178-2505 | 2019-01-30 |
| 1477076081 | Joel Nathan Rios | Acupuncturist | 5820 S Pecos Rd Ste 100, Las Vegas, NV 89120 | 2017-07-25 |
| 1598135311 | Reno Acupuncture Clinic, LLC | Acupuncturist | 3710 Grant Dr Ste L, Reno, NV 89509-5317 | 2015-10-06 |
| 1598190258 | Chia Hua Chow | Acupuncturist | 7341 W. Charleston Blvd. #140, Las Vegas, NV 89117 | 2013-09-12 |
| 1417394719 | Anita Lanier | Acupuncturist | 534 Nevada Hwy, Boulder City, NV 89005-2420 | 2013-05-28 |
| 1194064253 | Ping Xu | Acupuncturist | 5288 Spring Mountain Rd Ste 250, Las Vegas, NV 89146-8735 | 2013-02-10 |
| Find all providers with the same taxonomy | ||||
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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.