MATTHEW SCOTT AUSTIN (NPI# 1003439779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003439779 |
| Entity Type | Individual |
| Full Name | MATTHEW SCOTT AUSTIN |
| Credential | RN |
| Practice Address |
716 Stevens Ave Portland ME 04103-2656 |
| Mailing Address |
1630 Washington Ave Portland ME 04103-2043 |
| Practice Telephone | 2072830171 |
| Mailing Telephone | 2079497910 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922591957 | Matthew Ryan Austin | Optometrist | 4542 Elkhart Rd Ste 100, Elkhart, IN 46517-3572 | 2018-06-13 |
| 1447463658 | Matthew J Austin | Radiology | 5801 Bremo Rd Ste 208, Richmond, VA 23226-1907 | 2007-05-07 |
| 1831318468 | Matthew Austin | Physical Therapist | 10006 Auburn Rd, Fort Wayne, IN 46825 | 2007-04-24 |
| 1114487220 | Matthew Kyle Austin | Family Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-03-23 |
| 1356829535 | Matthew Austin | Pharmacist | 310 N 1st Ave, Iowa City, IA 52245-3617 | 2018-07-31 |
| 1861986317 | Matthew Weber Austin | Counselor | 1500 S Main St, Eaton Rapids, MI 48827-1952 | 2018-06-19 |
| 1891184651 | Matthew Austin | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-01-16 |
| 1730591397 | Matthew Austin | Internal Medicine | 20 York St., Department of Medicine, New Haven, CT 06510 | 2014-05-29 |
| 1861753287 | Matthew B Austin | Internal Medicine | 608 Nw 9th St, Suite 3110 & 4106, Oklahoma City, OK 73102-1068 | 2012-06-01 |
| 1518914886 | Matthew Stuart Austin | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2006-05-30 |
| Street Address |
716 STEVENS AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346245990 | Lee Edward Niemeyer | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2005-06-20 |
| 1710505433 | Colin Hulst | Registered Nurse | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-07-09 |
| 1346864279 | Lievin Umba | Physician Assistant | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-06 |
| 1184248312 | Wendy Letchworth | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-03 |
| 1619591930 | Geoffrey Kamau Wahome | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-06-02 |
| 1891319398 | Jordan Ray Kelley | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-06-01 |
| 1073137659 | Jaclyn Elizabeth Masters | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-30 |
| 1508480260 | Carla D'amour | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| 1598389256 | Novisi Abba | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2693 | 2020-05-28 |
| 1215550983 | Jessica Coolidge | Student in an Organized Health Care Education/Training Program | 716 Stevens Ave, Portland, ME 04103-2656 | 2020-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
| Find all providers in PORTLAND | ||||
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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.