DR. CLIFFORD M MATUSHIN (NPI# 1639143688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639143688 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD M MATUSHIN |
| Credential | DO |
| Practice Address |
919 Northland Dr Princeton MN 55371-2172 |
| Practice Telephone | 7633893344 |
| Mailing Telephone | 7633893344 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2014-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 107306 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 3575 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA LICENSE | 107306 | 01 |
| SD | STATE LICENSE | 3575 | 01 |
| SD | 6002770 | 05 |
| Street Address |
919 NORTHLAND DR |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063775260 | Robert K Brownawell | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2012-06-21 |
| 1003193509 | Nhat-anh Nguyen Ngo | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2011-11-11 |
| 1366671869 | Fairview Pharmacy Services, LLC | Non-Pharmacy Dispensing Site | 919 Northland Dr, Princeton, MN 55371-2172 | 2009-07-07 |
| 1821242017 | Fairview Clinics | Clinic/Center | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-11-14 |
| 1932367760 | Teresa Jean Duscher | Nurse Practitioner | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-05-29 |
| 1730364191 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 919 Northland Dr, Princeton, MN 55371-2172 | 2008-01-04 |
| 1831388974 | Lisa M. Cinar | Pediatrics | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-10-15 |
| 1043413214 | Jeremy John Peterson | Family Medicine | 919 Northland Dr, Princeton, MN 55371-2172 | 2007-06-06 |
| 1427149442 | Edina Eye Physicians and Surgeons Pa | Optometrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-09-27 |
| 1154355667 | Scott E Runde | Podiatrist | 919 Northland Dr, Princeton, MN 55371-2172 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681432 | Danielle Coppola | Internal Medicine | 2 Cleveland Ln, Princeton, NJ 08540-3050 | 2018-12-23 |
| 1174059885 | Oscar Alberto Perez Gutierrez | Internal Medicine | 3225 Sayre Dr, Princeton, NJ 08540-5868 | 2017-05-02 |
| 1982011995 | Prapti Praful Kuber | Internal Medicine | 2 Eagles Pass, Princeton, NJ 08540-8813 | 2014-07-22 |
| 1235487869 | Simon D. Murray, Md LLC | Internal Medicine | 727 State Rd Ste 2, Princeton, NJ 08540-1444 | 2012-08-29 |
| 1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
| 1396016960 | Kent Stewart Allenby | Internal Medicine | 42 Christopher Dr, Princeton, NJ 08540-2321 | 2012-01-13 |
| 1073821898 | David R Barile Md LLC | Internal Medicine | 30 Boudinot St, Princeton, NJ 08540-3008 | 2010-09-14 |
| 1043538184 | Princeton Premier Medicine, LLC | Internal Medicine | 281 Witherspoon Street, Suite 220, Princeton, NJ 08542 | 2010-05-13 |
| 1972825057 | Tracey J. Moreno, Md, LLC | Internal Medicine | 601 Ewing St Ste C13, Princeton, NJ 08540-2758 | 2010-02-17 |
| 1487984803 | Constance Monroe Winslow | Internal Medicine | 283 Mount Lucas Rd, Princeton, NJ 08540-2714 | 2010-01-07 |
| Find all providers in PRINCETON | ||||
Please comment or provide details below to improve the information on DR. CLIFFORD M MATUSHIN.
| 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.