DR. THEODORE JOHN MATUGA (NPI# 1427228899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427228899 |
Entity Type | Individual |
Full Name | DR. THEODORE JOHN MATUGA |
Credential | M.D. |
Practice Address |
5534 Bobwhite Ave Kalamazoo MI 49009-4593 |
Practice Telephone | 2693750336 |
Practice Fax Number | 2693759266 |
Mailing Telephone | 2693750336 |
Mailing Fax Number | 2693759266 |
Enumeration Date | 2008-03-02 |
Last Update Date | 2008-03-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301045861 | MI | Allopathic & Osteopathic Physicians |
Street Address |
5534 BOBWHITE AVE |
City | KALAMAZOO |
State | MI |
Zip Code | 49009-4593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
Find all providers in zip 49009 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821177205 | James Alexander Gardner | Radiology | 4166 Old Colony Rd, Kalamazoo, MI 49008-3214 | 2006-11-04 |
1275518979 | Todd Johnson | Radiology | 524 S Park St, Kalamazoo, MI 49007-5118 | 2005-12-14 |
1184983769 | David Schaumburg Mosbach | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2012-05-16 |
1013204916 | Andrew Forsyth | Radiology | 524 S Park St, Kalamazoo, MI 49007-5118 | 2011-06-30 |
1558654988 | Andreea Gabriela Moore | Radiology | 524 S Park St, Kalamazoo, MI 49007-5118 | 2011-05-18 |
1578791141 | Yulia Valerievna Volokhina | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2009-06-23 |
1245410240 | Laurene C. Mann | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2007-11-07 |
1801087374 | Brandon Sabah Tominna | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-08-08 |
1750503181 | Kenneth D Kreitel | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-05-03 |
1629102918 | Anand V Rao | Radiology | 601 John St, Kalamazoo, MI 49007-5341 | 2007-03-16 |
Find all providers in KALAMAZOO |
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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.