MATTHEW HARRISON


Address: 1421 Airport Rd Ste 100, Boulder City, NV 89005-3659
Phone: 7022285643

MATTHEW HARRISON (NPI# 1265078257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers MATTHEW HARRISON

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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

Office Location

Street Address 1421 AIRPORT RD STE 100
City BOULDER CITY
State NV
Zip Code 89005-3659

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City BOULDER CITY
Zip Code 89005

Improve Information

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Dataset Information

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.

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