DR. MATTHEW DAVID CARPENTER


Address: Va Bldg 1, Dogwood Avenue, Johnson City, TN 37614-0622
Phone: 4234396282

DR. MATTHEW DAVID CARPENTER (NPI# 1689171951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689171951
Entity Type Individual
Full Name DR. MATTHEW DAVID CARPENTER
Credential MD
Practice Address Va Bldg 1, Dogwood Avenue
Johnson City
TN 37614-0622
Mailing Address Va Bldg 1, Dogwood Avenue
Po Box 70622
Johnson City
TN 37614-0622
Practice Telephone 4234396282
Mailing Telephone 4234396282
Enumeration Date 2018-04-12
Last Update Date 2018-04-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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1225304520 Matthew Carpenter Counselor 311 N Spruce St, Searcy, AR 72143-7704 2012-03-30
1962778449 Matthew Charles Carpenter Family Medicine 10400 E Alameda Ave, Denver, CO 80247-5104 2012-03-28
1144510728 Matthew Sheldon Carpenter Pharmacist 306 N Main St, Webster Springs, WV 26288 2011-04-15
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Office Location

Street Address VA BLDG 1, DOGWOOD AVENUE
City JOHNSON CITY
State TN
Zip Code 37614-0622

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467061887 Jessica Marie Robinson Pharmacist Maple Avenue Building 7, Johnson City, TN 37614 2020-07-31
1881220697 Rachel Miller Slough Psychologist 801 S Dossett Drive, Johnson City, TN 37614 2020-03-13
1326682493 Yoshihiro Kojima Specialist/Technologist 127 W John Robert Bill Dr, Johnson City, TN 37614 2019-11-01
1205360104 Charlotte Lynn Alexander Student in an Organized Health Care Education/Training Program Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 2017-04-18
1679006787 Joel Whipple Student in an Organized Health Care Education/Training Program Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 2017-04-05
1497295711 Charles Faust Dental Hygienist 1276 Gilbreath Dr, Johnson City, TN 37614 2017-03-06
1265889414 Dyan Darang Student in an Organized Health Care Education/Training Program Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 2016-05-18
1194170142 Katharine Ann Lasher Student in an Organized Health Care Education/Training Program Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 2016-04-27
1992150189 Nishika Shina Moradia Student in an Organized Health Care Education/Training Program East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 2016-04-26
1962884429 Apurva Bansal Student in an Organized Health Care Education/Training Program 325 North State of Franklin, Johnson City, TN 37614 2015-06-22
Find all providers in zip 37614

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619585668 Mohammad Darweesh Student in an Organized Health Care Education/Training Program 325 N State of Franklin Rd # 439-7280, Johnson City, TN 37604-6056 2020-07-16
1407484157 Kayla Page Student in an Organized Health Care Education/Training Program 23 Riale Ave, Johnson City, NY 13790-2707 2020-03-30
1932736030 Trishna Sharma Student in an Organized Health Care Education/Training Program Building 52/lake Drive Mountain Home, Johnson City, TN 37684 2020-03-26
1962063743 Pooja Kumar Student in an Organized Health Care Education/Training Program 400 N St Franklin Rd, Johnson City, TN 37604-6035 2019-06-24
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1396309324 Praveen Shilpa Fernandopulle Student in an Organized Health Care Education/Training Program 1276 Gilbreath Dr # 70300, Johnson City, TN 37614-6503 2019-04-25
1609439686 Alok Kumar Sinha Student in an Organized Health Care Education/Training Program Va Bldg 1, Johnson City, TN 37614-6503 2019-04-16
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1316444953 Sindhura Kompella Student in an Organized Health Care Education/Training Program 1185 W Mountain View Rd Apt 2322, Johnson City, TN 37604-2539 2018-04-10
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37614

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Dataset Information

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.

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