MATTHEW C FEDOR (NPI# 1235225624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235225624 |
| Entity Type | Individual |
| Full Name | MATTHEW C FEDOR |
| Credential | MD |
| Practice Address |
610 Hawthorne Ave Se Ste 110 Salem OR 97301 |
| Mailing Address |
Po Box 886 Salem OR 97308-0886 |
| Practice Telephone | 5038144440 |
| Practice Fax Number | 5038144444 |
| Mailing Telephone | 5038144440 |
| Mailing Fax Number | 5038144444 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD27542 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE | R152647 | 01 |
| OR | 274652 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 665 Winter St Se Ste B0350, Salem, OR 973013934 | 5038144440 | 5038144444 |
| Street Address |
610 HAWTHORNE AVE SE STE 110 |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619949401 | Deborah A Hughes | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-02-06 |
| 1447898226 | Katelyn Williams | Registered Nurse | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2019-12-12 |
| 1255800850 | Peter Woodring | Nurse Practitioner | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-11-13 |
| 1831681618 | Ryan Hermansen | Physician Assistant | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-06-06 |
| 1902138969 | Oregon Heart Center PC | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2010-02-02 |
| 1861695165 | Hrishikesh S Iyengar | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2007-06-06 |
| 1164587119 | Kevin H Thompson | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-12-27 |
| 1679685101 | Sandeep Ajoy Saha | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-08-31 |
| 1417977166 | Kamran Ghalili | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-07-19 |
| 1962434498 | Barath Nmi Krishnamurthy | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| 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 |
|---|---|---|---|---|
| 1639454903 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Salem, OR 97301-0060 | 2011-10-18 |
| 1548545817 | Cascade Cardiology LLC | Internal Medicine | 777 Commercial St Se, Suite 130, Salem, OR 97301-3421 | 2011-10-18 |
| 1518024637 | Salem Township Hospital | Internal Medicine | 1201 Ricker Rd, Salem, IL 62881-4263 | 2007-01-02 |
| 1366465775 | Kyong T Turk | Internal Medicine | 885 Mission St Se, Salem, OR 97302-6222 | 2006-07-26 |
| 1013959493 | Salem Cardiology Arrhythmia Division, P.C. | Internal Medicine | 875 Oak St Se, Suite #5040, Salem, OR 97301-3975 | 2006-06-12 |
| 1578503249 | Wallace I Lai I | Internal Medicine | 2480 Liberty St Ne, Suite 110, Salem, OR 97301-8380 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104956937 | Heart Rhythm Consultants, P.C. | Internal Medicine | 9427 Sw Barnes Rd Ste 490, Portland, OR 97225-6652 | 2007-03-07 |
| 1154307528 | Hongsheng M Guo | Internal Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2005-12-19 |
| 1528429198 | The Rhythm Clinic LLC | Internal Medicine | 16463 Boones Ferry Rd, Lake Oswego, OR 97035-4259 | 2016-03-10 |
| 1356786388 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 315, Newberg, OR 97132-7524 | 2013-05-03 |
| 1770926776 | Providence Health & Services - Oregon | Internal Medicine | 1355 Exchange St, Astoria, OR 97103-3980 | 2013-04-10 |
| 1255515938 | Fawaz Alhumaid | Internal Medicine | 10000 Se Main St, Suite 60b, Portland, OR 97216-2448 | 2007-12-18 |
| 1023104726 | Eric Carl Stecker | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Uhn-62, Portland, OR 97239 | 2006-10-04 |
| 1598701690 | Paul J Deitering | Internal Medicine | 9427 Sw Barnes Rd, Suite 490, Portland, OR 97225-6652 | 2006-06-20 |
| 1235199704 | Charles A Henrikson | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Division of Cardiology Uhn 62, Portland, OR 97239-3011 | 2006-03-27 |
| 1093703563 | Eric A Pena | Internal Medicine | 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 | 2005-10-10 |
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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.