MATTHEW GERARD RETZLOFF (NPI# 1659362218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659362218 |
| Entity Type | Individual |
| Full Name | MATTHEW GERARD RETZLOFF |
| Credential | M.D. |
| Practice Address |
2200 Berquist Dr 859 Mdos/mmno, Suite 1 Lackland Afb TX 78236-5300 |
| Mailing Address |
2200 Bergquist Dr., St 1 Lackland Afb TX 78236-9907 |
| Practice Telephone | 2102926127 |
| Mailing Telephone | 2102926137 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
J8736 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2200 BERQUIST DR 859 MDOS/MMNO, SUITE 1 |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245540566 | Emmalyn V. Tague | Physician Assistant | 2200 Berquist Dr, Lackland Afb, TX 78236-6040 | 2010-10-20 |
| 1659592459 | Steven Franklin Robertson Jr. | Dentist | 2200 Berquist Dr, Ste 1, Lackland Afb, TX 78236-9908 | 2007-05-01 |
| 1669451506 | Edmund Sami Sabanegh Jr. | Urology | 2200 Berquist Dr, Ste 1, Credentials/cmc, Lackland Afb, TX 78236-5300 | 2006-01-10 |
| 1497731848 | Ronald Everett Wyatt | Nurse Anesthetist, Certified Registered | 2200 Berquist Dr, 59 Medical Wing/credentials, Lackland Afb, TX 76236-5300 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170791 | Theresa Manriquez | Obstetrics & Gynecology | 300 Beardsley Ln Ste 200, Austin, TX 78746-4945 | 2020-10-01 |
| 1134741556 | Fora Fertility, Pllc | Obstetrics & Gynecology | 2200 Pecos St, Austin, TX 78703-2124 | 2020-05-07 |
| 1073012407 | Eh Fertility, Pllc | Obstetrics & Gynecology | 16970 Dallas Pkwy Ste 500, Dallas, TX 75248-1983 | 2018-02-12 |
| 1497205397 | Smart Ivf, Pllc | Obstetrics & Gynecology | 5300 N Mccoll Rd Ste 200, Mcallen, TX 78504-3968 | 2016-10-04 |
| 1154663292 | Mckinney Fertility Center, LLC | Obstetrics & Gynecology | 5301 West University Drive, Mckinney, TX 75071 | 2013-03-26 |
| 1831436153 | Vasilios Theodoros Goudas | Obstetrics & Gynecology | 10901 Katy Freeway, Houston, TX 77079-3637 | 2013-01-07 |
| 1093078966 | Erika Munch | Obstetrics & Gynecology | 18707 Hardy Oak Blvd Ste 505, San Antonio, TX 78258-4891 | 2012-06-16 |
| 1720354038 | John Li-jon Wu | Obstetrics & Gynecology | 16415 Addison Rd, Addison, TX 75001 | 2012-03-30 |
| 1477828937 | Odessa Reproductive Medicine Center | Obstetrics & Gynecology | 420 E 6th St Ste 203, Odessa, TX 79761-4572 | 2012-03-16 |
| 1902067275 | James Leonard Nodler | Obstetrics & Gynecology | 929 Gessner Rd Ste 2300, Houston, TX 77024-2585 | 2008-06-19 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.