ABBEY G MATZEN (NPI# 1134403637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134403637 |
| Entity Type | Individual |
| Full Name | ABBEY G MATZEN |
| Credential | NP |
| Practice Address |
600 John Deere Rd Suite 301 Moline IL 61265-6869 |
| Practice Telephone | 3097794400 |
| Practice Fax Number | 3097794420 |
| Mailing Telephone | 3097794400 |
| Mailing Fax Number | 3097794420 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2015-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | A114523 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.009159 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 JOHN DEERE RD SUITE 301 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239173 | Margaret Sidles Millar | Legal Medicine | 600 John Deere Rd, Ste 401, Moline, IL 61265 | 2006-01-11 |
| 1205236569 | Janelle Olson | Physician Assistant | 600 John Deere Rd, Ste 301, Moline, IL 61265-6869 | 2014-08-23 |
| 1225344153 | Sommer Lynn Livengood | Nurse Practitioner | 600 John Deere Rd, Suite 401, Moline, IL 61265-6869 | 2010-08-30 |
| 1821227414 | Vikram Agrawal | Pediatrics | 600 John Deere Rd, Suite 308, Moline, IL 61265-6869 | 2009-07-06 |
| 1689838823 | Steven E Broomhead Jr. | Surgery | 600 John Deere Rd, Suite 301, Moline, IL 61265-6869 | 2008-07-16 |
| 1417111311 | Toyosi Olutade | Internal Medicine | 600 John Deere Rd, Ste 404, Moline, IL 61265-6869 | 2008-07-10 |
| 1215196316 | Naurin Ehsan Ahmad | Dermatology | 600 John Deere Rd, Suite 200, Moline, IL 61265-6869 | 2008-06-03 |
| 1124162292 | Barbara Ann Lindman | Dermatology | 600 John Deere Rd, Suite 200, Moline, IL 61265-6869 | 2007-02-20 |
| 1437237542 | Hani Horani | Internal Medicine | 600 John Deere Rd, Suite 200, Moline, IL 61265-6869 | 2006-11-02 |
| 1750347035 | Leonard James Shawn Keeven | Internal Medicine | 600 John Deere Rd, Ste 404, Moline, IL 61265-6869 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495678 | Kara Castel | Nurse Practitioner | 4109 17th Ave, Moline, IL 61265-3507 | 2020-07-27 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1194179705 | Bobbi Park | Nurse Practitioner | 106 19th Ave Ste 103, Moline, IL 61265-3700 | 2016-04-20 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1265864680 | Carey D Hurt | Nurse Practitioner | 200 N Plum St, Moline, KS 67353-9510 | 2013-08-08 |
| 1316124159 | David T Ade | Nurse Practitioner | 550 30th Ave Ste 12, Moline, IL 61265-5975 | 2008-01-23 |
| 1760487839 | Julianna M Castro | Nurse Practitioner | 5401 44th Avenue Dr, Suite 100, Moline, IL 61265-8126 | 2005-06-16 |
| 1770133159 | Rebecca Anne Solomon | Nurse Practitioner | 4370 7th St, Moline, IL 61265-6867 | 2019-09-17 |
| 1508410283 | Joshua Peter Roorda | Nurse Practitioner | 1106 4th Ave, Moline, IL 61265-1231 | 2019-07-30 |
| 1801358908 | Jesica Gould | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265-7127 | 2019-04-05 |
| Find all providers in MOLINE | ||||
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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.