DR. JOHN PATRICK MATLOCK (NPI# 1134102437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134102437 |
Entity Type | Individual |
Full Name | DR. JOHN PATRICK MATLOCK |
Credential | M.D. |
Practice Address |
William Beaumont Army Medical Center 5005 North Piedras Street El Paso TX 79920-5001 |
Mailing Address |
William Beaumont Army Med Ctr, Attn: Credentials Office 5005 North Piedras Street El Paso TX 79920-5001 |
Practice Telephone | 9155691455 |
Practice Fax Number | 9155691432 |
Mailing Telephone | 9155691382 |
Enumeration Date | 2005-11-22 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171000000X | Military Health Care Provider | MD00036726 | WA | Other Service Providers |
Y | 171000000X | Military Health Care Provider | L3011 | TX | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033436290 | John Anthony Matlock | Chiropractor | 291 Pickford Avenue, Phillipsburg, NJ 08865 | 2010-04-28 |
1639170830 | John Matlock | Internal Medicine | 11503 Nw Military Hwy, Suite 321, San Antonio, TX 78231-1884 | 2005-08-10 |
1699781708 | John Wiley Matlock | Physician Assistant | 3400 Lebanon Rd, Murfreesboro, TN 37129-1237 | 2006-07-31 |
1124015078 | John D Matlock | Social Worker | 307 E Sevier St, Benton, AR 72015-3934 | 2005-10-05 |
Street Address |
WILLIAM BEAUMONT ARMY MEDICAL CENTER 5005 NORTH PIEDRAS STREET |
City | EL PASO |
State | TX |
Zip Code | 79920-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396307633 | Ashley N Soler-acevedo | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 N Piedras Street, El Paso, TX 79920-5001 | 2019-07-08 |
1619450145 | Amy Elizabeth Brzuchalski | Nurse Practitioner | William Beaumont Army Medical Center, 5005 N. Piedras Street, El Paso, TX 79920-5001 | 2018-09-11 |
1548753031 | Joseph Allen Cavallaro | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
1083107486 | Michala Alexandra Lee | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
1235622622 | Tyler John Hummel | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
1285127670 | Landon Sterling Frost | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
1659864056 | Scott Hyuk Kim | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
1386137776 | Shelby Lynn Dean | Student in an Organized Health Care Education/Training Program | William Beaumont Army Medical Center, 5005 North Piedras Street Attn: Gme Office, El Paso, TX 79920 | 2018-06-11 |
1013439611 | Brent Duffield | Nurse Anesthetist, Certified Registered | William Beaumont Army Medical Center, 5005 N Piedras Ave, El Paso, TX 79920 | 2017-07-14 |
1750744629 | Timothy Andrew Hunter | Internal Medicine | William Beaumont Army Medical Center, 5005 N Piedras St, El Paso, TX 79920 | 2016-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
Find all providers in zip 79920 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
1639518616 | Treble Clef Technologies | Military Health Care Provider | 3233 Tomahawk St, El Paso, TX 79936-2315 | 2013-06-23 |
1679837355 | Jeffrey Hoffmann | Military Health Care Provider | 1640 N Zaragoza Rd, Apt 118, El Paso, TX 79936-8004 | 2012-06-27 |
1740753953 | Josue J Paredes | Military Health Care Provider | 5005 N. Piedras Street, Wbamc, El Paso, TX 79920-5001 | 2019-01-10 |
1578036802 | Javier Eduardo Martinez | Military Health Care Provider | 5005 North Piedras Street, Wbamc, El Paso, TX 79920-5001 | 2019-01-09 |
1740730787 | Henry Waldon Savery | Military Health Care Provider | 5005 N Piedras St, El Paso, TX 79920-5002 | 2016-10-13 |
1952622797 | Josiah D Freemyer | Military Health Care Provider | 5005 N Piedras St, El Paso, TX 79920-5001 | 2010-06-16 |
1073834826 | Matthew D Laughlin | Military Health Care Provider | 5005 N Piedras St, El Paso, TX 79920-5001 | 2010-06-16 |
1053558072 | John Coleman | Military Health Care Provider | 5005 N Piedras St, El Paso, TX 79920-5001 | 2009-01-13 |
1568626307 | Robert B Gayle | Military Health Care Provider | 5005 N Piedras Street, El Paso, El Paso, TX 79920-5001 | 2008-07-10 |
Find all providers in EL PASO |
Please comment or provide details below to improve the information on DR. JOHN PATRICK MATLOCK.
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.