MATTHEW R CARR (NPI# 1235418385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235418385 |
| Entity Type | Individual |
| Full Name | MATTHEW R CARR |
| Credential | NP |
| Practice Address |
736 Sw Washington Suite 2a Peoria IL 61602-1653 |
| Practice Telephone | 3094970300 |
| Practice Fax Number | 3094970399 |
| Mailing Telephone | 3094970300 |
| Mailing Fax Number | 3094970399 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209008978 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891717310 | Matthew Quinn Carr | Podiatrist | 1970 S 200 E, Salt Lake City, UT 84115-2402 | 2006-07-24 |
| 1730717950 | Matthew Thomas Carr | Student in an Organized Health Care Education/Training Program | 1468 Madison Ave, New York, NY 10029-6508 | 2020-04-01 |
| 1174084354 | Matthew Scott Carr | Student in an Organized Health Care Education/Training Program | 200 West Arbor Dr., Mc 8756, Uc San Diego Health, Department of Radiology, San Diego, CA 92103-8756 | 2019-03-28 |
| 1083142525 | Matthew Timothy Carr | Emergency Medicine | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2017-05-29 |
| 1629418017 | Matthew Joseph Carr | General Practice | 1750 Tomcat Blvd, Virginia Beach, VA 23460-2168 | 2013-06-28 |
| 1710199021 | Matthew David Carr | Pathology | 602 Michigan Ave, Holland, MI 49423-4918 | 2007-05-07 |
| 1336202365 | Matthew Carr | Radiology | 3291 Loma Vista Rd, Ventura, CA 93003-3099 | 2006-12-19 |
| 1467537183 | Matthew L Carr | Internal Medicine | 3001 Nw 49th Ave, # 100, Lauderdale Lakes, FL 33313-7266 | 2006-10-25 |
| 1447252135 | Matthew L Carr | Internal Medicine | 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804-4159 | 2005-08-11 |
| Street Address |
736 SW WASHINGTON SUITE 2A |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171340 | James John Newman | Nurse Practitioner | 8267 W Bloomfield Rd, Peoria, AZ 85381-8191 | 2019-12-19 |
| 1356990774 | Patricia Ellen Williams | Nurse Practitioner | 9645 W Ross Ave, Peoria, AZ 85382-5150 | 2019-09-09 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1619373529 | Rachael Devita | Nurse Practitioner | 10052 W Patrick Ln, Peoria, AZ 85383-2890 | 2014-11-05 |
| 1518294925 | Joy Christine Schramm | Nurse Practitioner | 1oo Ne Adams St, Peoria, IL 61629-1410 | 2009-11-05 |
| 1336164805 | Lisa D. Menzie | Nurse Practitioner | 7733 W North Ln, Peoria, AZ 85345-6600 | 2006-07-13 |
| 1265030548 | Christina David | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-10-09 |
| 1306443056 | Austyn Powers | Nurse Practitioner | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 | 2020-10-06 |
| 1164045225 | Blaine Romero | Nurse Practitioner | 13640 N Plaza Del Rio Blvd Ste 340, Peoria, AZ 85381-4846 | 2020-05-24 |
| 1265070494 | Aaron M Owens | Nurse Practitioner | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2019-12-18 |
| Find all providers in PEORIA | ||||
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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.