MATTHEW RAIDER MD LLC (NPI# 1093952194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093952194 |
| Entity Type | Organization |
| Organization Name | MATTHEW RAIDER MD LLC |
| Practice Address |
645 Saybrook Rd Middletown CT 06457-4746 |
| Practice Telephone | 8607674024 |
| Mailing Telephone | 8607674024 |
| Enumeration Date | 2009-01-11 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | DR. MATTHEW J RAIDER (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8607674024 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
22948 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
645 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073562674 | Matthew J. Raider | Family Medicine | 645 Saybrook Rd, Middletown, CT 06457-4746 | 2006-05-09 |
| 1144466129 | Benchmark Assisted Living LLC | Assisted Living Facility | 645 Saybrook Rd, Middletown, CT 06457-4746 | 2008-12-23 |
| 1306000823 | The Village At South Farms | Assisted Living Facility | 645 Saybrook Rd, Middletown, CT 06457-4746 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851350664 | Middlesex Hospital | Family Medicine | 90 S Main St, Middletown, CT 06457-3649 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033214358 | Walter Michael Kobialka | Family Medicine | 1275 Summer St Ste 102, Stamford, CT 06905-5315 | 2006-09-13 |
| 1154323426 | Rohini Ruth Becherl | Family Medicine | 80 Seymour Street, Hartford Hospital Geriatrics Program, Hartford, CT 06102-5037 | 2005-06-01 |
| 1184112203 | He Sun | Family Medicine | 20 York St, New Haven, CT 06510-3220 | 2018-04-24 |
| 1609001551 | Maggie Hsin-i Lee | Family Medicine | 1354 Chapel St, New Haven, CT 06511-4420 | 2009-05-21 |
| 1508082561 | Maria Lementowska | Family Medicine | 1461 South Britain Rd, Southbury, CT 06488-0901 | 2007-04-18 |
| 1841340445 | Daniel Rissi | Family Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2007-01-12 |
| 1881776060 | Aarthi Anand | Family Medicine | 805 Atlantic St, Stamford, CT 06902-6805 | 2006-10-19 |
| 1982647095 | John Augustus Merritt Jr. | Family Medicine | 1450 Chapel St, New Haven, CT 06511 | 2006-06-14 |
| 1073596714 | Sharon Stacy Farber | Family Medicine | 1 Abrahms Blvd, West Hartford, CT 06117-3949 | 2005-11-28 |
| 1477536522 | Richard A Marottoli | Family Medicine | 20 York St, Dana Building, 3rd Floor, New Haven, CT 06510-3220 | 2005-11-22 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MATTHEW RAIDER MD LLC.
| 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.