DR. GARY WAYNE MATRAVERS (NPI# 1003181173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003181173 |
| Entity Type | Individual |
| Full Name | DR. GARY WAYNE MATRAVERS |
| Credential | MD |
| Practice Address |
11600 Stark Rd Stockton UT 84071-9712 |
| Practice Telephone | 4358337796 |
| Practice Fax Number | 4358337667 |
| Mailing Telephone | 4358337796 |
| Mailing Fax Number | 4358337667 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
169591-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
11600 STARK RD |
| City | STOCKTON |
| State | UT |
| Zip Code | 84071-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982878096 | Steven Glenn Byrne | Physician Assistant | 11600 Stark Rd, Stockton, UT 84071-9712 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326553454 | Trent Borden | Registered Nurse | 1530 West Ridgeline Rd., Stockton, UT 84071 | 2017-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1356942502 | Sharon Clare Mcgeady | Occupational Therapist | 76 Garboski Rd, Stockton, NJ 08559-1925 | 2020-11-04 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1417558727 | Adriana B Juarez | Behavior Technician | 935 W Swain Rd Apt 10, Stockton, CA 95207-9209 | 2020-11-03 |
| 1609477918 | Samantha Mendoza Sanchez | Behavior Technician | 1633 E Bianchi Rd Apt 203, Stockton, CA 95210-7611 | 2020-11-03 |
| 1548868979 | Yesenia Castillo | Driver | 2668 Inman Ave, Stockton, CA 95204-2649 | 2020-10-16 |
| 1154929867 | Devina Renee Colon | Behavior Technician | 2124 Canby Oak Dr, Stockton, CA 95205-2687 | 2020-10-14 |
| 1609474311 | Daniela Iridian Aguirre | Behavior Technician | 1550 S B St Spc 19, Stockton, CA 95206-2461 | 2020-10-14 |
| 1336747039 | Aaliyah A Nino | Behavior Technician | 7638 Peppertree Dr, Stockton, CA 95207-1448 | 2020-10-14 |
| 1972101681 | Mersadez Oller | Behavior Technician | 4815 Joseph Leon Ln, Stockton, CA 95215-1153 | 2020-10-14 |
| Find all providers in STOCKTON | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023566098 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3663 E Arch Rd, Suite 400, Stockton, CA 95215 | 2016-09-19 |
| 1932570322 | Alan Randle | Preventive Medicine | 4114 Pebble Beach Dr, Stockton, CA 95219-1912 | 2015-10-12 |
| 1538616586 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1429 W Fremont St, Stockton, CA 95203-2635 | 2016-09-07 |
| 1962805630 | Corky Hul Medical Assoc | Preventive Medicine | 4722 Quail Lakes Dr, Stockton, CA 95207-5256 | 2014-10-08 |
| 1437270477 | Donald Lee Rossman | Preventive Medicine | 420 W Acacia St Ste 2, Stockton, CA 95203-2441 | 2007-04-03 |
| 1245351378 | Corky J Hull | Preventive Medicine | 420 W Acacia St Ste 19, Stockton, CA 95203-2441 | 2007-04-03 |
| 1912085820 | Zhong Ling | Preventive Medicine | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| 1144308966 | Vijendra P. Govind | Preventive Medicine | 7373 West Ln, Stockton, CA 95210-3377 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376181891 | Gary Nolan Godfrey | Preventive Medicine | 299 S Main St Ste 1700, Salt Lake City, UT 84111-2279 | 2019-12-16 |
| 1548727290 | Health Services Inc | Preventive Medicine | 900 Round Valley Dr Ste 110, Park City, UT 84060-7552 | 2019-02-28 |
| 1841618956 | Amilcar Fabian Cardona | Preventive Medicine | 391 S Chipeta Way, Salt Lake City, UT 84108-1263 | 2014-04-04 |
| 1396057592 | Joshua Taylor Silva | Preventive Medicine | 2878 E Wasatch Blvd, Sandy, UT 84092 | 2010-07-06 |
| 1134450430 | Paul Teynor | Preventive Medicine | 76 E 6790 S, Midvale, UT 84047-1233 | 2010-01-26 |
| 1659558641 | Nancy J Williams | Preventive Medicine | 391 Chipeta Way Ste C, C/o Rocky Mtn Center for Occ & Env Health, Salt Lake City, UT 84108-1294 | 2008-01-22 |
| 1679758536 | Jeremy Biggs | Preventive Medicine | 201 Presidents Circle, Salt Lake City, UT 84112 | 2008-01-09 |
| 1093906224 | Christopher Mcguire | Preventive Medicine | Kister Ave, Building 5166, U.S. Army Health Clinic, Dugway, UT 84022 | 2007-08-05 |
| 1932229416 | Wesley Ronald Brown | Preventive Medicine | 4000 S 200 E, Ste #10, Salt Lake City, UT 84107 | 2007-03-30 |
| 1144351198 | Michael K. Hardy | Preventive Medicine | 601 N 1200 W, Orem, UT 84057-3522 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
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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.