MATTHEW S WIBERG (NPI# 1285190991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285190991 |
| Entity Type | Individual |
| Full Name | MATTHEW S WIBERG |
| Practice Address |
4300 W Waco Dr Waco TX 76710-7010 |
| Practice Telephone | 9725985894 |
| Mailing Telephone | 9725985894 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | Emergency Medical Service Providers |
| Street Address |
4300 W WACO DR |
| City | WACO |
| State | TX |
| Zip Code | 76710-7010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245351261 | Dana Lafayette | Counselor | 4300 W Waco Dr, Ste B-2 #220, Waco, TX 76710-7010 | 2007-04-03 |
| 1881006930 | Connect Hearing, Inc. | Audiologist | 4300 W Waco Dr, Ste A2, Waco, TX 76710-7010 | 2014-05-23 |
| 1750661682 | David Jeffery Anderson | Hearing Instrument Specialist | 4300 W Waco Dr, Waco, TX 76710-7010 | 2011-08-23 |
| 1861771016 | April Victoria Marteney | Hearing Instrument Specialist | 4300 W Waco Dr, Ste A2, Waco, TX 76710-7010 | 2011-08-05 |
| 1992976542 | Roger Dale Clark | Hearing Instrument Specialist | 4300 W Waco Dr, A2, Waco, TX 76710-7010 | 2008-03-21 |
| 1114142817 | Roxanne Van Brown | Hearing Instrument Specialist | 4300 W Waco Dr, A2, Waco, TX 76710-7036 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868896 | Capitol Medical Service, LLC | Emergency Medical Technician, Paramedic | 1107 River Ridge Dr, Austin, TX 78732-6133 | 2020-10-09 |
| 1699389544 | Kevin Nichols | Emergency Medical Technician, Paramedic | 8004 Lanham Ln, Houston, TX 77075-2653 | 2020-09-08 |
| 1952915373 | Evan J Bradley | Emergency Medical Technician, Paramedic | 11504 Arbroath Ln, Austin, TX 78754-5958 | 2020-09-02 |
| 1427669183 | Crystal Lane King | Emergency Medical Technician, Paramedic | 736 Lake Carolyn Pkwy Apt 146w, Irving, TX 75039-3995 | 2020-08-14 |
| 1023636297 | Erik Michael Hassan | Emergency Medical Technician, Paramedic | 22607 Coriander Dr, Katy, TX 77450-1523 | 2020-07-13 |
| 1992323448 | Ricardo Valentin Aldape | Emergency Medical Technician, Paramedic | 3902 Ashwood Dr, Pearland, TX 77584-9200 | 2020-07-10 |
| 1982234852 | Adriana Benson | Emergency Medical Technician, Paramedic | 2408 E 20th St, Mission, TX 78572-3389 | 2020-01-20 |
| 1497395008 | Keith Dean Drake | Emergency Medical Technician, Paramedic | 12609 Javea Dr, Austin, TX 78739-1541 | 2020-01-11 |
| 1689237810 | Samantha A Stockreef | Emergency Medical Technician, Paramedic | 906 N Old Robinson Rd, Robinson, TX 76706-5237 | 2019-04-14 |
| 1144715269 | Zachary Yancey Paul | Emergency Medical Technician, Paramedic | 1716 Hal Ave, Cleburne, TX 76031-7614 | 2018-06-30 |
| 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.