DR. MATTHEW TODD WARREN (NPI# 1215928627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215928627 |
Entity Type | Individual |
Full Name | DR. MATTHEW TODD WARREN |
Credential | DO |
Practice Address |
700 Chief Eddie Hoffman Highway Bethel AK 99559 |
Practice Telephone | (907) 543-6238 |
Mailing Telephone | (907) 543-6238 |
Enumeration Date | 2005-11-03 |
Last Update Date | 2017-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7349 | AK | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34.007544 | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992261135 | Matthew Warren | Counselor | 874 Beacon St, Boston, MA 02215-3101 | 2019-02-12 |
1336216019 | Matthew Scott Warren | Pediatrics | 81 S Main St Ste 5, West Hartford, CT 06107-2400 | 2006-11-29 |
1417067828 | Matthew David Warren | Family Medicine | 255 Smokerise Trce, Peachtree City, GA 30269-1301 | 2006-08-30 |
1548861198 | Matthew James Warren | Chiropractor | 850 Century Medical Dr, Titusville, FL 32796-2141 | 2020-11-02 |
1225546229 | Matthew Ray Warren | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2018-01-12 |
1790140093 | Matthew John Warren | Occupational Therapist | 179 Combs St, Sparta, NC 28675-8429 | 2015-12-31 |
1124412275 | Matthew Blake Warren | Student in an Organized Health Care Education/Training Program | 2040 W Charleston Blvd Ste 300, Las Vegas, NV 89102-2244 | 2015-03-26 |
1861825499 | Matthew Warren | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-19 |
1760624241 | Matthew Fiske Warren | Psychiatry & Neurology | 760 Broadway., Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2009-03-31 |
1083863443 | Matthew W Warren | Pharmacist | 1194 Wyke Rd, Shelby, NC 28150-4259 | 2008-09-10 |
Street Address |
700 CHIEF EDDIE HOFFMAN HIGHWAY |
City | BETHEL |
State | AK |
Zip Code | 99559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043843683 | Alicia Paula Koffi | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2020-02-21 |
1861043564 | Ashley Lourilea Hunsucker | Pharmacist | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2019-09-24 |
1619330230 | Amber Leigh Colvin | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2016-03-31 |
1073970745 | Jeremiah Lee Britton | Dietitian, Registered | 700 Chief Eddie Hoffman Highway, Diabetes Prevention and Control Attn: Jeremiah Britton, Bethel, AK 99559 | 2016-01-26 |
1528434016 | Michelle M Carl | Technician, Other | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0700 | 2015-08-19 |
1184026908 | Agnes Changsak | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-09-24 |
1801201611 | Virginia Lozano | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-07-01 |
1699188581 | Ernest Phillip | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2014-06-09 |
1467875120 | Beverly Wulf | Community Health Worker | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2014-01-30 |
1609201920 | Alice Olsen | Technician | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 | 2013-09-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194337519 | Michael P Nicolai | Case Manager/Care Coordinator | 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 | 2020-08-18 |
1003438508 | Enc Physical Therapy LLC | Physical Therapist | 223 Blackberry Street, Unit A, Bethel, AK 99559 | 2020-05-07 |
1780229609 | Laline Knox | Massage Therapist | 107 Alex Hatley Ste 1, Bethel, AK 99559 | 2019-11-14 |
1659920502 | Ana Celina Sebastian | Counselor | 1380 Calista Dr, Bethel, AK 99559 | 2019-09-04 |
1639730484 | Jerri Linda Moran-gentle | Massage Therapist | 430 A 7th Ave, Bethel, AK 99559 | 2019-06-24 |
1528625381 | Jennifer Peeks | Social Worker | 631 4th Ave. & Main St., Bethel, AK 99559 | 2019-05-28 |
1710451190 | Mary Theresa Thibeault | Registered Nurse | Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 | 2019-01-18 |
1659846210 | Freda Lizann Jimmie | Counselor | 829 Eddie Hoffman Highway, Bethel, AK 99559 | 2018-10-10 |
1073093977 | Romeo Mullai | Counselor | 1630 Calista Drive, Bethel, AK 99559 | 2018-08-20 |
1235623794 | Brian Justin Moses | Day Training/Habilitation Specialist | 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 | 2018-06-19 |
Find all providers in zip 99559 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972712198 | Ronald Cain | Radiology | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0287 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619437373 | Iv Radiology Medical Group | Radiology | 9178 Eagle River Ln, Eagle River, AK 99577-6819 | 2019-03-20 |
1316328263 | Telerad Account Management of Alaska LLC | Radiology | 3868 N Forestwood Dr, Palmer, AK 99645-9669 | 2015-06-17 |
1386986917 | Elaine Clark Pigman | Radiology | Alaska Radiology Associates, 3650 Piper St. Suite A, Anchorage, AK 99508 | 2013-03-21 |
1396011300 | Alexander Glen Wright | Radiology | 3650 Piper Street Ste A, Anchorage, AK 99508 | 2012-03-25 |
1063785749 | Jonathan Rasmussen | Radiology | 1060 Gaffney Rd Dept Of, Ft Wainwright, AK 99703-5002 | 2012-02-11 |
1669705562 | Matrix Radiology Associates, LLC | Radiology | 2440 E Tudor Rd, #238, Anchorage, AK 99507-1185 | 2009-09-09 |
1659500866 | William W. Resinger | Radiology | 17330 East Huntley Rd., Palmer, AK 99645-0839 | 2009-07-09 |
1992975122 | Pacific Northwest Radiology LLC | Radiology | 310 Bennett St, Wrangell, AK 99929 | 2008-03-04 |
1336348937 | Aurora Diagnostic Imaging LLC | Radiology | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2007-07-13 |
1356560908 | Pacific Northwest Radiology | Radiology | 34 Lavalle Ct, Unalaska, AK 99685-1202 | 2007-04-24 |
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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.