DR. JOHN LYLE MATTHEWS (NPI# 1548308471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548308471 |
Entity Type | Individual |
Full Name | DR. JOHN LYLE MATTHEWS |
Credential | M.D. |
Practice Address |
3725 National Dr Suite 227 Raleigh NC 27612-4066 |
Mailing Address |
11 Cobbleridge Ct Durham NC 27713-9493 |
Practice Telephone | 9197860055 |
Practice Fax Number | 9197861337 |
Mailing Telephone | 9194190113 |
Mailing Fax Number | 9197861337 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2008-04-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
95-01331 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 1225G | 01 | |
NC | 891225G | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437647351 | John Hunter Matthews | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd Department of Orthopaedics, Winston Salem, NC 27157-0001 | 2018-04-26 |
1851541155 | John William Matthews | Psychologist | 21 Bayswater Pl, Chapel Hill, NC 27517-8635 | 2008-09-23 |
1760666937 | John Matthews | Dentist | End of Hwy 202, Tehachapi, CA 93581 | 2007-12-24 |
1457553315 | John David Matthews | Registered Nurse | 4203 W Sunrise Dr, Wasilla, AK 99654-9248 | 2007-06-04 |
1073734000 | John Michael Matthews | Dentist | 110 Estel Way, Suite A, Hot Springs Village, AR 71909 | 2007-05-01 |
1144357096 | John Anthony Matthews | Internal Medicine | 1115 East Pence Rd, Crossroad Medical Unit, Cameron, MO 64429 | 2007-02-27 |
1982647533 | John Paul Matthews | Optometrist | 115 S Adams St, San Angelo, TX 76901-4101 | 2006-06-13 |
1659375483 | John Dail Matthews | Ophthalmology | 1313 Carolina Street, Suite 103, Greensboro, NC 27401 | 2005-06-09 |
1043791866 | John J Matthews | Social Worker | 12550 New Brittany Blvd Ste 100, Fort Myers, FL 33907 | 2018-08-29 |
1558712059 | John Charles Matthews | Pharmacist | 720 Gracern Rd, Suite 123, Columbia, SC 29210-7655 | 2016-06-26 |
Street Address |
3725 NATIONAL DR SUITE 227 |
City | RALEIGH |
State | NC |
Zip Code | 27612-4066 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245222124 | Robin Guffey Forgione | Counselor | 3725 National Dr, Suite 114, Raleigh, NC 27612-4066 | 2005-08-17 |
1417439712 | Chanel Saver Marshall | Counselor | 3725 National Dr, Raleigh, NC 27612-4066 | 2018-09-04 |
1235616814 | Jessica Sharpe | Counselor | 3725 National Dr, Raleigh, NC 27612-4066 | 2018-07-26 |
1366974883 | Jessica Nicole Carter | Counselor | 3725 National Dr, #220, Raleigh, NC 27612-4066 | 2017-04-03 |
1225575459 | Nathan Kyle Webber | Counselor | 3725 National Dr, Suite 220, Raleigh, NC 27612-4066 | 2017-01-25 |
1518402437 | Nicole Mccarthy | Marriage & Family Therapist | 3725 National Dr, #220, Raleigh, NC 27612-4066 | 2017-01-01 |
1649728452 | Leyla Bahojb Nouri | Psychologist | 3725 National Dr, Suite 220, Raleigh, NC 27612-4066 | 2016-09-21 |
1588018956 | Jeffrey Lynn Broyles | Counselor | 3725 National Dr, Suite 220, Raleigh, NC 27612-4066 | 2016-04-21 |
1235590936 | Margaret Albert | Counselor | 3725 National Dr, Suite 220, Raleigh, NC 27612-4066 | 2016-03-09 |
1225494362 | Nicole Fleming | Counselor | 3725 National Dr, Suite 220, Raleigh, NC 27612-4066 | 2016-01-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
Find all providers in zip 27612 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
1245465053 | Herman Aronov Naftel | Psychiatry & Neurology | 107 Sunnybrook Road, Raleigh, NC 27610 | 2009-05-22 |
1467676510 | Douglas Michael Conrad | Psychiatry & Neurology | 4505 Fairmeadow Ln, Suite 208, Raleigh, NC 27607-6449 | 2007-04-12 |
1346397833 | Hima B Palakurthi | Psychiatry & Neurology | 5904 Norwood Knolls Way, Raleigh, NC 27614-8296 | 2007-01-05 |
1427066802 | Laura Earle Horgan | Psychiatry & Neurology | Msc, Raleigh, NC 27699-3601 | 2006-08-03 |
1497230775 | Restoration Counseling Center | Psychiatry & Neurology | 5868 Faringdon Pl, Raleigh, NC 27609-3931 | 2018-10-02 |
1033582002 | Abdul Khalid, Md, Pa | Psychiatry & Neurology | 312 W Millbrook Rd, Raleigh, NC 27609-4389 | 2015-11-12 |
1619292471 | National Mentor Healthcare, LLC | Psychiatry & Neurology | 3125 Poplarwood Ct, Suite 300, Raleigh, NC 27604-1084 | 2010-04-05 |
1275742579 | Thomas Matthews Haizlip | Psychiatry & Neurology | 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 | 2007-05-22 |
1396950630 | Ellison & Associates of Raleigh PC | Psychiatry & Neurology | 2920 Highwoods Blvd, Suite 127, Raleigh, NC 27604-1015 | 2007-05-11 |
Find all providers in RALEIGH |
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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.