MATTHEW D RECKER (NPI# 1164682324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164682324 |
| Entity Type | Individual |
| Full Name | MATTHEW D RECKER |
| Credential | MD |
| Practice Address |
93 Campus Ave Lewiston ME 04240 |
| Mailing Address |
324 Gannett Dr Ste 200 South Portland ME 04106-3266 |
| Practice Telephone | 2077774100 |
| Practice Fax Number | 2077778591 |
| Mailing Telephone | 2074827800 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD20757 | ME | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD20757 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1164682324 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Founders Plz, Suite 400, East Hartford, CT 061083212 | 3472777587 | |
| 33 Sewall St, Portland, ME 041022603 | 2078282100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801320023 | Matthew Jacob Recker | Student in an Organized Health Care Education/Training Program | 100 High St Fl 4, University At Buffalo Neurosurgery (ubns), Buffalo, NY 14203-1126 | 2017-04-13 |
| 1073066478 | Matthew Recker | Physical Therapist | 7595 County Road 236, Findlay, OH 45840-8738 | 2016-08-02 |
| Street Address |
93 CAMPUS AVE |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725465 | Ronald M. Reilly | Emergency Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2005-07-28 |
| 1538778972 | Alyssa K Rouleau | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2020-07-30 |
| 1356802540 | Phyllis Wolf Wilkins | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-03-29 |
| 1306303813 | Katherine Jeniffer Dawkins | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2019-02-21 |
| 1942789482 | Hospitalist Medicine Physicians of Maine -tcg, Pllc | Internal Medicine | 93 Campus Ave, Lewiston, ME 04240-6030 | 2018-08-07 |
| 1942722723 | Valerie Denison Porcello | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2017-07-12 |
| 1487005088 | Jessica E Newcomb | Nurse Anesthetist, Certified Registered | 93 Campus Ave, Lewiston, ME 04240 | 2016-06-24 |
| 1700236742 | Andrea Michele Carr | Registered Nurse | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-06-21 |
| 1710343777 | Patricia Rand | Nurse Practitioner | 93 Campus Ave, Lewiston, ME 04240-6030 | 2016-01-06 |
| 1558731034 | Janice M Oliveira | Nurse Anesthetist, Certified Registered | 93 Campus Ave, St Mary's Anesthesia Associates,p.a., Lewiston, ME 04240-6030 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871172 | Russell L Evans | Radiology | 320 Warner Dr, Lewiston, ID 83501-4441 | 2018-08-16 |
| 1023096955 | John W. Ho | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598708588 | Joseph M Ullman | Radiology | 15 Hospital Drive, Dept Radiology York Hospital, York, ME 03909 | 2006-06-14 |
| 1780149260 | Radiology Professionals, P.a. | Radiology | 144 State Street, Portland, ME 04101-3776 | 2019-02-08 |
| 1437160918 | Maine Interventional, LLC | Radiology | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2006-08-10 |
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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.