DR. MATTHEW R ANDERSON (NPI# 1336119973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336119973 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW R ANDERSON |
| Credential | M.D. |
| Practice Address |
21681 N 77th Ave Suite 1405 Peoria AZ 85382-2132 |
| Practice Telephone | 6233122265 |
| Practice Fax Number | 6233122266 |
| Mailing Telephone | 6233122265 |
| Mailing Fax Number | 6233122266 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36198 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 345804 | 05 | |
| AZ | RAILROAD MEDICARE | P00623658 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665041 | Matthew Harlan Anderson | Counselor | 9233 Park Meadows Dr Ste 206, Lone Tree, CO 80124-5697 | 2020-09-28 |
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1700257193 | Matthew Cyle Anderson | Occupational Therapist | 3160 Color Palette Ave, Henderson, NV 89044-0277 | 2015-10-12 |
| 1871911438 | Matthew Anderson | Dentist | 2565 Ne Butler Market Rd, Bend, OR 97701-1587 | 2014-04-01 |
| 1760822860 | Matthew Gordon Anderson | Social Worker | 1905b Mission 66, Vicksburg, MS 39180-3711 | 2013-07-03 |
| 1326488008 | Matthew K Anderson | Optometrist | 506 7th St W, Saint Paul, MN 55102 | 2013-06-26 |
| 1073864963 | Matthew Ross Anderson | Dentist | 1120 15th St # Gc5110, Augusta, GA 30912-0004 | 2012-10-02 |
| 1710243688 | Matthew Ron Anderson | Dentist | 90 Doctors Park, Suite B, Santa Rosa, CA 94505 | 2012-04-05 |
| 1225325061 | Matthew Paul Anderson | Occupational Therapy Assistant | 11483 Petrel Ave, Weeki Wachee, FL 34614-2730 | 2011-06-30 |
| 1538329115 | Matthew Scott Anderson | Physical Therapist | 1070 N 1st St, Cameron, WI 54822-2000 | 2008-06-17 |
| Street Address |
21681 N 77TH AVE SUITE 1405 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928254 | Nimisha Darshak Shah | Family Medicine | 21681 N 77th Ave, Ste. 1410, Peoria, AZ 85382-2132 | 2005-10-31 |
| 1174869721 | Honorhealth Medical Group, LLC | Family Medicine | 21681 N 77th Ave, Suite 1405, Peoria, AZ 85382-2132 | 2012-12-28 |
| 1659694156 | Aspen Rae LLC | Family Medicine | 21681 N 77th Ave, Suite 1415, Peoria, AZ 85382-2132 | 2010-03-11 |
| 1659598258 | Valerie I. Bustos | Family Medicine | 21681 N 77th Ave, Suite 1410, Peoria, AZ 85382-2132 | 2007-04-18 |
| 1841342631 | Shantel Tanae Glick | Physician Assistant | 21681 N 77th Ave, Peoria, AZ 85382-2132 | 2007-01-18 |
| 1740366293 | Douglas R Gabriel | Dentist | 21681 N 77th Ave, Ste. 1420, Peoria, AZ 85382-2132 | 2006-10-27 |
| 1912933227 | Shane A Mccall | Chiropractor | 21681 N 77th Ave, Suite 1415, Peoria, AZ 85382-2132 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621739 | Titan Medical LLC | Family Medicine | 13660 N 94th Dr Ste D-3, Peoria, AZ 85381-4836 | 2020-05-27 |
| 1619516788 | Michelle Martin | Family Medicine | 15182 N 75th Ave # Uint180, Peoria, AZ 85381-4722 | 2020-01-06 |
| 1124667555 | District Medical Group, Inc | Family Medicine | 15182 N 75th Ave Ste 180, Peoria, AZ 85381-4722 | 2020-01-02 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1992236848 | Agape Primary Care, Pllc | Family Medicine | 8380 W Emile Zola Ave # 5178, Peoria, AZ 85381-4811 | 2017-03-22 |
| 1043666910 | Honorhealth Medical Group, LLC | Family Medicine | 10230 W Happy Valley Rd, Ste100, Peoria, AZ 85383-2795 | 2016-05-10 |
| 1598160863 | Healthcare Partners Arizona Medical Group LLC | Family Medicine | 16155 N 83rd Ave Ofc, #201, Peoria, AZ 85382-5815 | 2014-10-29 |
| 1164856506 | Charlotte Christie Clayton | Family Medicine | 7505 N Edgewild Dr, Peoria, IL 61614-2117 | 2013-08-21 |
| 1770824112 | Dean Robert Bordeaux | Family Medicine | 7614 N Patton Ln, Peoria, IL 61614-1828 | 2013-03-11 |
| 1467731935 | James Austin Shane Jr. | Family Medicine | 18821 N 94th Ave, Peoria, AZ 85382-3697 | 2011-08-15 |
| 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.