MATHEWS B FISH (NPI# 1790721926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790721926 |
Entity Type | Individual |
Full Name | MATHEWS B FISH |
Credential | MD |
Practice Address |
3311 Riverbend Dr Springfield OR 97477-8800 |
Mailing Address |
Po Box 24410 Eugene OR 97402-0451 |
Practice Telephone | 5414844332 |
Enumeration Date | 2006-06-22 |
Last Update Date | 2012-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207U00000X | Nuclear Medicine | MD08746 | OR | Allopathic & Osteopathic Physicians |
Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD08746 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 238220 | 05 |
Street Address |
3311 RIVERBEND DR |
City | SPRINGFIELD |
State | OR |
Zip Code | 97477-8800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
1528516986 | Steven Lorenzen | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2016-09-14 |
1700285582 | Shannon Carlson | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2014-08-18 |
1265872691 | Chinar Agarwal | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2013-06-30 |
1467738062 | Aaron Wayne Harding | Clinical Exercise Physiologist | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2011-10-26 |
1992099824 | Kenzie A Scheidt | Physician Assistant | 3311 Riverbend Dr, Oregon Cardiology, Springfield, OR 97477-8800 | 2011-06-08 |
1770725046 | Briana O'kelley | Physician Assistant | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-04-01 |
1568601607 | University Professional Services | General Practice | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2009-02-12 |
1548426414 | Mary A Costello | Nurse Practitioner | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-07-31 |
1841467347 | Eric Richard Muller | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2008-05-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
Find all providers in zip 97477 |
Taxonomy Code | 207UN0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Nuclear Medicine |
Specialization | Nuclear Cardiology |
A nuclear medicine physician who specializes in nuclear cardiology. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
City | SPRINGFIELD |
Zip Code | 97477 |
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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.