CHARLES CARTER MATTHEWS (NPI# 1275770646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275770646 |
| Entity Type | Individual |
| Full Name | CHARLES CARTER MATTHEWS |
| Credential | DVM |
| Practice Address |
619 Wentworth Ave Calumet City IL 60409-4222 |
| Practice Telephone | 7088621900 |
| Practice Fax Number | 7088627321 |
| Mailing Telephone | 7088621900 |
| Mailing Fax Number | 7088627321 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 090.003330 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265619670 | Charles Matthews | Counselor | 1603 E 10th St, Long Beach, CA 90813-5035 | 2008-01-28 |
| 1386776342 | Charles Matthews | Counselor | 9343 S Ridgeland Ave, Chicago, IL 60617-3637 | 2007-03-12 |
| 1851438725 | Charles W. Matthews | Internal Medicine | 4217 Del Monte Ave, Las Vegas, NV 89102-3875 | 2007-01-31 |
| 1356393714 | Charles Odell Matthews | Psychologist | 12909 N 56th St Ste 203, Tampa, FL 33617-1274 | 2006-05-16 |
| 1427440585 | Charles Matthews | Counselor | 434 Warren St, Boston, MA 02121-1325 | 2015-02-26 |
| 1376755900 | Charles David Matthews | Counselor | 2799 Lawrenceville Hwy, Suite 107, Decatur, GA 30033-2517 | 2007-05-04 |
| 1689899676 | Charles Harrison Matthews Jr. | Family Medicine | 1322 Spring St, Jeffersonville, IN 47130 | 2007-04-16 |
| 1891866885 | Charles Matthews | Psychiatry & Neurology | 2501 Atrium Dr, Suite 400, Raleigh, NC 27607-6452 | 2006-11-13 |
| 1609828284 | Charles C Matthews | Radiology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-05-16 |
| Street Address |
619 WENTWORTH AVE |
| City | CALUMET CITY |
| State | IL |
| Zip Code | 60409-4222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689159832 | Victory Pharmacy of Decatur Inc | Pharmacy | 1837 River Oaks Rd, Calumet City, IL 60409 | 2018-10-03 |
| 1801336961 | It's About Change Sober Living, Inc. | Community/Behavioral Health | 1604 Horbor St., Calumet City, IL 60409 | 2017-03-08 |
| 1750832986 | Jeffrey Mcneil | Social Worker | 660 Memorial Dr., Calumet City, IL 60409 | 2016-10-24 |
| 1578855219 | Cherechi V Onyenso | Nurse Practitioner | 1473 Ring Ring Road, Great Heights Family Medicine, Calumet City, IL 60409 | 2011-05-13 |
| 1205097607 | Michael Peter Weisberg | Ophthalmology | 1700 East West Road, Calumet City, IL 60409 | 2008-06-19 |
| 1861694333 | County of Cook | Local Education Agency (LEA) | 1255 Superior Ave, Calumet City, IL 60409 | 2007-06-05 |
| 1689875585 | Calumet City School District #155 | Local Education Agency (LEA) | Memorial Dr and Superior, Calumet City, IL 60409 | 2007-05-29 |
| 1932224185 | Micah K Swansey Sr. | Psychologist | 593 Burnham Avenue, Calumet City, IL 60409 | 2007-03-20 |
| 1184768210 | Beverly Williamson | Optometrist | 200 River Oaks Drive, Calumet City, IL 60409 | 2007-02-20 |
| 1205978863 | Dillons Dental Services LLC | Dentist | 2000 E 159th St, Calumet City, IL 60409 | 2007-02-12 |
| Find all providers in zip 60409 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144602434 | Peter Haase | Veterinarian | 1195 E Palatine Rd, Arlington Heights, IL 60004-3313 | 2015-06-23 |
| 1720467335 | Sarah Pruss | Veterinarian | 2079 Lincoln Hwy, St Charles, IL 60174-1580 | 2015-05-28 |
| 1992190441 | Robert Robbins | Veterinarian | 4287 Eldamain Rd, Plano, IL 60545-9711 | 2015-04-01 |
| 1619369824 | Russell Jones | Veterinarian | 720 Kennedy Dr, Metropolis, IL 62960-2630 | 2015-02-25 |
| 1538566278 | Jennifer Armstrong | Veterinarian | 9351 Old Highway 13, Murphysboro, IL 62966-5530 | 2014-11-24 |
| 1700283587 | Catherine O'keefe | Veterinarian | 22096 N Pet Ln, Prairie View, IL 60069-4112 | 2014-11-22 |
| 1770992026 | Andrea Kuehn | Veterinarian | 225 W Division St, Chicago, IL 60610-1820 | 2014-08-11 |
| 1316362908 | Cherlene Delgado | Veterinarian | 820 W Frontage Rd, Northfield, IL 60093-1205 | 2014-02-19 |
| 1265855803 | Shawna Nicole Greene | Veterinarian | 2600 W. Galena Blvd., Aurora, IL 60506 | 2014-02-03 |
| 1922421882 | Christopher Shule | Veterinarian | 11711 Catalpa Ln, Woodstock, IL 60098-6924 | 2014-01-29 |
| Find all providers with the same taxonomy | ||||
| City | CALUMET CITY |
| Zip Code | 60409 |
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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.