MATTHEW G TAYLOR (NPI# 1033123658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033123658 |
| Entity Type | Individual |
| Full Name | MATTHEW G TAYLOR |
| Credential | MD |
| Practice Address |
700 W Ironwood Dr 320 Coeur D Alene ID 83814-2656 |
| Practice Telephone | 2086255250 |
| Practice Fax Number | 2086255251 |
| Mailing Telephone | 2086255250 |
| Mailing Fax Number | 2086255251 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 51784071205 | UT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2011018390 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
M12933 | ID | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
M-12933 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851955181 | Matthew Taylor | Psychologist | 27645 E Trail Ridge Way Apt 1007, Moreno Valley, CA 92555-3122 | 2019-04-23 |
| 1407381015 | Matthew Taylor | Social Worker | 1124 Evergreen Way, Stockbridge, GA 30281-6237 | 2017-04-21 |
| 1942733316 | Matthew Taylor | Nurse Practitioner | 1600 Coit Rd Ste 109, Plano, TX 75075-6171 | 2017-04-04 |
| 1225499320 | Matthew Daniel Taylor | Counselor | 25 East Ellendale Street, Bel Air, MD 21014-2610 | 2016-03-16 |
| 1487969002 | Matthew Taylor | Optometrist | 928 Valley View Dr, Ste 17, Council Bluffs, IA 51503-5288 | 2010-08-09 |
| 1336207695 | Matthew J Taylor | Physical Therapist | 10213 N 92nd Street, Suite 102, Scottsdale, AZ 85258 | 2006-12-05 |
| 1164407904 | Matthew T Taylor | Anesthesiology | 3115 Bridle Bluff Ct, Katy, TX 77494-4060 | 2005-12-14 |
| 1063010627 | Matthew Taylor | Behavior Technician | 5151 Bonney Rd Ste 107, Virginia Beach, VA 23462-4384 | 2020-10-15 |
| 1902434368 | Matthew Taylor | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd, Lake Charles, LA 70601-8849 | 2020-03-31 |
| 1831722271 | Matthew T Taylor | Nurse Practitioner | 409 N University Ave, Little Rock, AR 72205-3108 | 2020-02-13 |
| Street Address |
700 W IRONWOOD DR 320 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699771451 | Ronald J Stout | Otolaryngology | 700 W Ironwood Dr, Ste 236, Coeur D Alene, ID 83814-4484 | 2005-06-24 |
| 1033635180 | Jamie Lee Park | Pharmacist | 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 | 2017-08-21 |
| 1063944726 | Mandi Nordhagen | Pharmacist | 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 | 2017-03-31 |
| 1679004675 | Jamie Cervi-skinner | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-22 |
| 1982144424 | Carissa Hober | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-02 |
| 1861939910 | Kellie Kathryn Breaux | Nurse Practitioner | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2017-01-27 |
| 1902348709 | Michael Watrobka | Physician Assistant | 700 W Ironwood Dr, Suite 120e, Coeur D Alene, ID 83814-2656 | 2016-11-09 |
| 1841748530 | Elizabeth St John | Physician Assistant | 700 W Ironwood Dr, Ste 341, Coeur D Alene, ID 83814-2656 | 2016-09-12 |
| 1184076465 | Craig Allred | Audiologist | 700 W Ironwood Dr, Ste 278, Coeur D Alene, ID 83814-2656 | 2016-07-11 |
| 1962869008 | Natalie Jeane Bartell | Nurse Practitioner | 700 W Ironwood Dr, Suite 155, Coeur D Alene, ID 83814-2656 | 2016-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190215 | Cardiovascular Specialists of America, LLC | Internal Medicine | 1515 E Clark St, Pocatello, ID 83201-4133 | 2020-10-08 |
| 1760928865 | University of Utah Pediatric Services | Internal Medicine | 110 Vista Dr, Pocatello, ID 83201-5824 | 2017-01-12 |
| 1144608308 | University of Utah Adult Services | Internal Medicine | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-05-08 |
| 1316325574 | University of Utah Adult Services | Internal Medicine | 2001 S Woodruff Ave Ste 3, Idaho Falls, ID 83404-6371 | 2015-05-08 |
| 1992182547 | University of Utah Adult Services | Internal Medicine | 3100 Channing Way, Ste 600, Idaho Falls, ID 83404-7533 | 2015-05-04 |
| 1629405857 | Western Pacemaker Clinic, Pllc | Internal Medicine | 13960 W Wainwright Dr, Boise, ID 83713-1969 | 2013-10-02 |
| 1679733414 | Joshua I Mozes | Internal Medicine | 287 W Jefferson St, Boise, ID 83702-6045 | 2008-06-16 |
| 1124236393 | Alejandro Perez-verdia | Internal Medicine | 3242 S Woodruff Ave, Idaho Falls, ID 83404-8305 | 2007-05-19 |
| 1669409785 | Melinda L. Marks | Internal Medicine | 300 E Jefferson St, Ste 101, Boise, ID 83712-6246 | 2006-06-26 |
| 1720033459 | Walter L Seale | Internal Medicine | 6140 W Curtisian, Ste 200, Boise, ID 83704 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.