MATTHEW HARRISON (NPI# 1265078257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265078257 |
Entity Type | Individual |
Full Name | MATTHEW HARRISON |
Practice Address |
1421 Airport Rd Ste 100 Boulder City NV 89005-3659 |
Practice Telephone | 7022285643 |
Enumeration Date | 2019-11-25 |
Last Update Date | 2019-11-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033582903 | Matthew Harrison | Contractor | 11595 N Meridian St Ste 140, Carmel, IN 46032-4544 | 2015-11-02 |
1366860090 | Matthew Harrison | Dentist | 19284 W Catawba Ave Ste B, Charlotte, NC 28031 | 2014-03-31 |
1912108051 | Matthew James Harrison | Orthopaedic Surgery | 5333 Hollister Ave Ste 160, Santa Barbara, CA 93111-2454 | 2007-05-29 |
1073684825 | Matthew Burke Harrison | Dentist | 1107 W Elm St, Rogers, AR 72756-4235 | 2006-11-13 |
1235171463 | Matthew Bret Harrison | Family Medicine | 2711 Maguire Rd, Ocoee, FL 34761-4797 | 2006-06-12 |
1720027055 | Matthew George Harrison | Chiropractor | 602 W Maple Ave, Merchantville, NJ 08109-1820 | 2006-06-05 |
1467016873 | Matthew Harrison | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2019-05-01 |
1811489230 | Matthew Ryan Harrison | Student in an Organized Health Care Education/Training Program | 895 Union St Ste 12, Bangor, ME 04401-3054 | 2018-06-01 |
1912403445 | Matthew Wesley Harrison | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 584, Little Rock, AR 72205 | 2018-04-03 |
1356872378 | Matthew Harrison | Physical Therapist | 36101 Bob Hope Dr Ste A1, Rancho Mirage, CA 92270-2002 | 2017-03-22 |
Street Address |
1421 AIRPORT RD STE 100 |
City | BOULDER CITY |
State | NV |
Zip Code | 89005-3659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
Find all providers in zip 89005 |
Taxonomy Code | 1710I1003X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Medical Technicians |
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427525831 | John Varner | Military Health Care Provider | 3832 Prairie Orchid Ave, North Las Vegas, NV 89081-4029 | 2018-10-24 |
1033607478 | Steven Correa | Military Health Care Provider | 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 | 2018-05-01 |
1518483320 | Jessica Ann Ewers | Military Health Care Provider | 8701 W Gilmore Ave, Las Vegas, NV 89129-7687 | 2017-08-15 |
1194085472 | Brianne Wadtke | Military Health Care Provider | 405 Prairie Moon Ave, North Las Vegas, NV 89084-1257 | 2012-05-21 |
1235401621 | Jeremy Michael Greeley | Military Health Care Provider | 5221 Puma Ct, North Las Vegas, NV 89031-0704 | 2012-02-01 |
1306175096 | Ta'wana L Jones | Military Health Care Provider | 1900 Las Vegas Blvd, Las Vegas, NV 89110 | 2009-12-09 |
1902037344 | Olekachi Jean Thomas | Military Health Care Provider | 5537 Diano Marina Ct, North Las Vegas, NV 89081-4078 | 2009-08-03 |
1447480801 | Louis Ruben Naungayan | Military Health Care Provider | 2918 Paradise Hill Ct, North Las Vegas, NV 89031-0539 | 2009-07-20 |
1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
1497983332 | Christopher Lee Clark | Military Health Care Provider | 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 | 2009-06-30 |
Find all providers with the same taxonomy |
City | BOULDER CITY |
Zip Code | 89005 |
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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.