DR. MATTHEW NEVITT (NPI# 1407075617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407075617 |
Entity Type | Individual |
Full Name | DR. MATTHEW NEVITT |
Practice Address |
3900 Junius St Suite 500 Dallas TX 75246-1615 |
Practice Telephone | 2148237090 |
Practice Fax Number | 2148231644 |
Mailing Telephone | 2148237090 |
Mailing Fax Number | 2148231644 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2013-04-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | N5280 | TX | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
N5280 | TX | Allopathic & Osteopathic Physicians |
N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
N5280 | TX | Allopathic & Osteopathic Physicians |
N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
N5280 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 295027101 | 05 | |
TX | 295027102 | 05 | |
NPI | 1407075617 | 01 | |
TX | TEXAS MEDICAL LICENSE | N5280 | 01 |
TX | BCBS PAR | 8AD836 | 01 |
Street Address |
3900 JUNIUS ST SUITE 500 |
City | DALLAS |
State | TX |
Zip Code | 75246-1615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952300022 | John C Obrien Jr. | Surgery | 3900 Junius St, Suite 145, Dallas, TX 75246-1615 | 2005-07-20 |
1538548177 | North Star Mcd, LLC | Clinic/Center | 3900 Junius St, Suite 705, Dallas, TX 75246-1615 | 2015-05-28 |
1245618966 | Grant Sun | Student in an Organized Health Care Education/Training Program | 3900 Junius St, Dallas, TX 75246-1615 | 2015-05-14 |
1275932451 | Jennifer Elkins | Physician Assistant | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2014-08-14 |
1639501596 | Mitesh Jagdish Patel | Physician Assistant | 3900 Junius St, Suite 605, Dallas, TX 75246-1615 | 2013-08-02 |
1982042305 | Btdi Jv LLP | Physiological Laboratory | 3900 Junius St, Ste 100, Dallas, TX 75246-1615 | 2013-06-07 |
1891036588 | Baylor University Medical Center | Clinic/Center | 3900 Junius St, Suite 100, Dallas, TX 75246-1615 | 2013-03-06 |
1689931677 | Ashton Brooke Want | Physician Assistant | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2012-04-16 |
1851666861 | Healthtexas Provider Network | Durable Medical Equipment & Medical Supplies | 3900 Junius St, Suite 500, Dallas, TX 75246-1615 | 2012-03-09 |
1487937850 | Eastside Kidney Consultants, Pllc | Internal Medicine | 3900 Junius St, Suite 615, Dallas, TX 75246-1615 | 2011-09-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
Find all providers in zip 75246 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
1760740930 | Jessica Wingfield | Orthopaedic Surgery | 12230 Coit Rd Ste 100, Dallas, TX 75251-2323 | 2012-04-25 |
1841596772 | Charity Mamaa Ogunro | Orthopaedic Surgery | 3670 W Wheatland Rd, Dallas, TX 75237-3462 | 2011-02-10 |
1598068835 | Michael Vernon Doyle Md | Orthopaedic Surgery | 8220 Walnut Hill Ln Ste 606, Dallas, TX 75231-4424 | 2010-12-08 |
1851577308 | Nilpesh Mahesh Patel | Orthopaedic Surgery | 8585 N Stemmons Fwy # 105, Dallas, TX 75247-3836 | 2008-01-15 |
1659302206 | Thomas W Byron | Orthopaedic Surgery | 2800 Memorial Hwy, Dallas, PA 18612-1569 | 2006-07-05 |
1255311601 | Michael V Doyle | Orthopaedic Surgery | 8220 Walnut Hill Lane, # 606, Dallas, TX 75231 | 2006-01-20 |
1841273562 | Olayinka Ogunro | Orthopaedic Surgery | 7989 W Virginia Dr Ste 105, # 105, Dallas, TX 75237-3837 | 2005-11-28 |
1063415883 | Guy Kenneth Driggs | Orthopaedic Surgery | 5920 Forest Park Rd, Ste 530, Dallas, TX 75235-6413 | 2005-05-24 |
1962968081 | Kimberly Mezera Md Pllc | Orthopaedic Surgery | 9301 N Central Expy Ste 300, Dallas, TX 75231-0804 | 2019-02-13 |
Find all providers in DALLAS |
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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.