MATTHEW TYLER PHILLIPS (NPI# 1538622584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538622584 |
| Entity Type | Individual |
| Full Name | MATTHEW TYLER PHILLIPS |
| Practice Address |
401 Matthew Street Emergency Department Marietta OH 45750-4575 |
| Mailing Address |
401 Matthew Street Emergency Department Marietta OH 45750 |
| Practice Telephone | 7405685669 |
| Mailing Telephone | 7405685669 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 58.030929 | OH | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392090 | Matthew Garfield Phillips | Technician | 95 T and K Acres, Summersville, WV 26651-9539 | 2020-09-30 |
| 1396158952 | Matthew Craig Phillips | Counselor | 3299 Adams St Ne, D40, Albuquerque, NM 87110-8052 | 2014-06-10 |
| 1457619272 | Matthew Ross Phillips | Ophthalmology | 1501 N Washington St., Durant, OK 74701 | 2012-04-30 |
| 1649256520 | Matthew David Phillips | Dentist | 95-1153 Wikao St, Mililani, HI 96789-3992 | 2005-12-21 |
| 1306451489 | Matthew J Phillips | Physical Therapist | 15425 Manchester Rd Ste 28, Ballwin, MO 63011-3077 | 2020-09-15 |
| 1962066597 | Matthew David Phillips | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2019-04-29 |
| 1093274979 | Matthew Christopher Phillips | Student in an Organized Health Care Education/Training Program | 1200 N State St Ste A7d, Los Angeles, CA 90033-1029 | 2019-03-19 |
| 1003335712 | Matthew Joseph Phillips | Physical Therapist | 1020 S Harrison Rd Ste 120, Tucson, AZ 85748-6610 | 2017-09-13 |
| 1326586413 | Matthew Daniel Phillips | Physician Assistant | 1055 N Curtis Road, Boise, ID 83706 | 2017-02-08 |
| 1265988273 | Matthew Phillips | Physical Therapy Assistant | 261 Main St, Suite 101, North Smithfield, RI 02896-7919 | 2016-08-30 |
| Street Address |
401 MATTHEW STREET EMERGENCY DEPARTMENT |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1174086128 | William Gregory Timmer | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1427511476 | Joshua Andrew Leonard | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1376006338 | Matt Richard Peck | Student in an Organized Health Care Education/Training Program | 401 Matthew Street, Emergency Department, Marietta, OH 45750-4575 | 2019-04-08 |
| 1245720143 | Zachary Philip Tritsch | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-16 |
| 1285124586 | Dylan Jay Brown | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-14 |
| 1093205395 | Cady Noelle Kennedy | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-14 |
| 1912497264 | Alison Grady | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2018-05-12 |
| 1275086381 | William Trible Gatewood Jr. | Family Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2016-07-26 |
| 1306208921 | Michael Grahl | General Practice | 401 Matthew Street, Emergency Department, Marietta, OH 45750-8922 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| 1487995189 | Lynette T Dela Cruz | Physical Therapist | 115 Bartlett Street, Marietta, OH 45750 | 2013-03-06 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477164341 | Mariam Yahaya | Student in an Organized Health Care Education/Training Program | 2655 Ravenoaks Pl, Marietta, GA 30062-5631 | 2020-08-13 |
| 1649897372 | Kyungran Gibson | Student in an Organized Health Care Education/Training Program | 2662 Shadow Bluff Dr Ne, Marietta, GA 30062-2568 | 2020-06-29 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1740819572 | Rudiona Hoxhaj | Student in an Organized Health Care Education/Training Program | 677 Church St Ne Attn: Gme, Marietta, GA 30060-1101 | 2020-04-03 |
| 1912536921 | Rabia Khan | Student in an Organized Health Care Education/Training Program | 77 Church St Ne, Marietta, GA 30060-1907 | 2020-04-02 |
| 1699302737 | Ankit Mathur | Student in an Organized Health Care Education/Training Program | 846 Paces Farm Trl Sw, Marietta, GA 30064-7550 | 2020-03-26 |
| 1114566247 | Shelby Anne Saltsman | Student in an Organized Health Care Education/Training Program | 352 Church St Ne, Marietta, GA 30060-1318 | 2020-01-07 |
| 1518521871 | Taylor Nicole Weintraub | Student in an Organized Health Care Education/Training Program | 1134 Waterford Green Ln, Marietta, GA 30068-2931 | 2019-04-23 |
| 1235692146 | Dakotah Rose Forell | Student in an Organized Health Care Education/Training Program | 667 Church St Ne, Marietta, GA 30060-1101 | 2019-04-08 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
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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.