DR. MATTHEW SCOTT WHITACRE (NPI# 1730356858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730356858 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW SCOTT WHITACRE |
| Credential | M.D. |
| Practice Address |
250 Fort St Neah Bay WA 98357-0410 |
| Mailing Address |
243511 W Highway 101 250 Fort St Port Angeles WA 98363-9472 |
| Practice Telephone | 3606452233 |
| Practice Fax Number | 3606452305 |
| Mailing Telephone | 3604526252 |
| Mailing Fax Number | 3604526274 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60106651 | WA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | MD60106651 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAL LICENSE | MD60106651 | 01 |
| Street Address |
250 FORT ST |
| City | NEAH BAY |
| State | WA |
| Zip Code | 98357-0410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497707715 | David R Cundiff | Family Medicine | 250 Fort St, Neah Bay, WA 98357 | 2006-05-16 |
| 1750948121 | Lisa Joann Butler | Technician | 250 Fort St, Neah Bay, WA 98357-4003 | 2019-05-21 |
| 1144883810 | Grace J Ross | Registered Nurse | 250 Fort St, Neah Bay, WA 98357-4003 | 2019-04-18 |
| 1689139727 | Bri Durrans O Hogain | Nurse Practitioner | 250 Fort St, Neah Bay, WA 98357-4003 | 2019-02-03 |
| 1942796453 | Kendra Liann Cornwell | Registered Nurse | 250 Fort St, 250 Fort St, Neah Bay, WA 98357-9835 | 2018-07-09 |
| 1528465382 | Gordon D Kirkland | Pharmacist | 250 Fort St, Neah Bay, WA 98357-0410 | 2014-11-21 |
| 1144633611 | Tamsen Howes | Physician Assistant | 250 Fort St, Neah Bay, WA 98357-4003 | 2014-06-03 |
| 1285050310 | Krzysztof K Pawlowski | Pharmacist | 250 Fort St, Neah Bay, WA 98357 | 2014-03-13 |
| 1073951471 | Elizabeth A Cope | Naturopath | 250 Fort St, Neah Bay, WA 98357-4003 | 2013-06-06 |
| 1134402340 | Jenelle Strine | Counselor | 250 Fort St, Neah Bay, WA 98357-0410 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823232 | Christie Heath Woolard | Pharmacist | Sophie Trettevick Indian Health Center, 250 Fort St, Neah Bay, WA 98357 | 2020-05-21 |
| 1750877437 | Sophie Trettevick Indian Health Center | Clinic/Center | 250 Fort St., Neah Bay, WA 98357 | 2018-07-06 |
| 1417321266 | Brook Cherith Conwell | Specialist | 1720 East Nursery Ave, Neah Bay, WA 98357 | 2015-11-17 |
| 1538552070 | William D Pratt Jr. | Nurse Practitioner | 136 Coast Guard Dr, Box 435, Neah Bay, WA 98357 | 2015-03-09 |
| 1194092395 | Todd M. Davidson | Counselor | 1001 Bay View Ave., Neah Bay, WA 98357 | 2011-11-17 |
| 1598994675 | Betty Jean Poffenbarger | Counselor | 111 Resort Dr, Neah Bay, WA 98357 | 2009-07-09 |
| 1609068170 | Makah Tribe | Clinic/Center | 171 Makah Bay Dr, Neah Bay, WA 98357 | 2007-08-17 |
| 1306037767 | Makah Tribal Council | Ambulance | 141 2nd Ave, Neah Bay, WA 98357 | 2007-08-09 |
| 1033319496 | David A Kaikaka | Counselor | 1001 Bayview Avenue, Neah Bay, WA 98357 | 2007-07-23 |
| 1730171240 | Thomas Michael Vaneaton | General Practice | 250 Fort Street, Neah Bay, WA 98357 | 2005-08-19 |
| Find all providers in zip 98357 | ||||
| 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 |
|---|---|---|---|---|
| 1497707715 | David R Cundiff | Family Medicine | 250 Fort St, Neah Bay, WA 98357 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MATTHEW SCOTT WHITACRE.
| 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.