THEODORE RAYMOND MATHENY (NPI# 1619060530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619060530 |
| Entity Type | Individual |
| Full Name | THEODORE RAYMOND MATHENY |
| Credential | MD |
| Practice Address |
617 Dayton St Ste 2 #a Edmonds WA 98020-3446 |
| Mailing Address |
617 Dayton St Ste 2 Edmonds WA 98020-3446 |
| Practice Telephone | 4257763399 |
| Practice Fax Number | 4257765511 |
| Mailing Telephone | 4257763399 |
| Mailing Fax Number | 4257765511 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00040536 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8289753 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245885029 | Theodore Adam Matheny | Psychologist | 203 Sweetbriar Ave, Cridersville, OH 45806-2293 | 2019-08-07 |
| Street Address |
617 DAYTON ST STE 2 #A |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| 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 |
|---|---|---|---|---|
| 1265825236 | Barton Eugene Smith | Family Medicine | 7315 212th St Sw Ste 10, Edmonds, WA 98026-7610 | 2015-03-14 |
| 1114114535 | Steven Koh | Family Medicine | 21600 Highway 99 Ste 280, Edmonds, WA 98026-8022 | 2007-09-30 |
| 1003967456 | Clifford John Johnson | Family Medicine | 7320 179th St Sw, Edmonds, WA 98026-5534 | 2007-01-14 |
| 1750393666 | Tommy Lyle Summe | Family Medicine | 7614 195th St. S.w., Suite 200, Edmonds, WA 98026-4731 | 2006-08-12 |
| 1942238977 | Henry Hochberg | Family Medicine | 22721 76th Ave W, #b, Edmonds, WA 98026-3000 | 2006-06-29 |
| 1427086800 | Shawn H West | Family Medicine | 7315 212th St Sw Ste 101, Puget Sound Family Physicians Dba Edmonds Family Medici, Edmonds, WA 98026 | 2006-06-28 |
| 1952346884 | Kathryn Elizabeth Upton | Family Medicine | 221 4th Ave N, Edmonds, WA 98020-3116 | 2006-06-17 |
| 1851332365 | Upton Family Medicine Pllc | Family Medicine | 221-4th Ave, North, Edmonds, WA 98020 | 2006-06-08 |
| 1326099078 | Maurene P Cronyn | Family Medicine | 21911 76th Ave W, #110, Edmonds, WA 98026-7903 | 2006-05-15 |
| 1376174979 | Edmonds Medical Clinic Inc | Family Medicine | 21600 Highway 99 Ste 280, Edmonds, WA 98026-8022 | 2020-02-01 |
| Find all providers in EDMONDS | ||||
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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.