FRED MATHEWS INC. (NPI# 1285613414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285613414 |
| Entity Type | Organization |
| Organization Name | FRED MATHEWS INC. |
| Other Organization Name | NORTHERN AIR |
| Practice Address |
40 1st St Se Waukon IA 52172-2022 |
| Mailing Address |
Po Box 8 Waukon IA 52172-0008 |
| Practice Telephone | 5635686004 |
| Practice Fax Number | 5635686139 |
| Mailing Telephone | 5635686004 |
| Mailing Fax Number | 5635686139 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. FRED JAY MATHEWS (PRESIDENT) |
| Authorized Official Telephone | 5635686004 |
| Authorized Official Credential | RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS/BLUE SHIELD | 16397 | 01 |
| IA | 0163972 | 05 |
| Other Name | Type Code |
|---|---|
| northern air | Doing Business As Name - Organization |
| Street Address |
40 1ST ST SE |
| City | WAUKON |
| State | IA |
| Zip Code | 52172-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083363 | Jonathan L Hawes | Physician Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2005-06-20 |
| 1609489244 | Austin Troendle | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2020-08-24 |
| 1407401722 | Shelly Valley | Physical Therapy Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2019-08-04 |
| 1366920803 | Rebecca Booth | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2018-08-06 |
| 1104352327 | Veterans Memorial Hospital | Clinic/Center | 40 1st St Se, Waukon, IA 52172-2022 | 2017-05-08 |
| 1275902322 | Veterans Memorial Hospital-community and Home Care | Nursing Care | 40 1st St Se, Waukon, IA 52172-2022 | 2015-09-18 |
| 1255763892 | Steven Breitenfield | Speech-Language Pathologist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-06 |
| 1710319710 | Dana Wells | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-01 |
| 1134568561 | Tarynne Carlson | Occupational Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-06-19 |
| 1356786081 | Veterans Memorial Hospital-public Health | Public Health or Welfare | 40 1st St Se, Waukon, IA 52172-2022 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
| 1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
| 1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| 1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1720173990 | Northeast Iowa Dental Professional Corporation | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-10-04 |
| 1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
| 1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| Find all providers in zip 52172 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174866990 | Mayo Clinic Health System - Franciscan Medical Center Inc. | Durable Medical Equipment & Medical Supplies | 105 East Main Street, Waukon, IA 54660-1412 | 2013-03-29 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059402 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 2317 Circle Dr W Ste 4, Spirit Lake, IA 51360-1048 | 2020-10-02 |
| 1962009902 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 826 E. Park St. Hwy 18, Sheldon, IA 51201-1205 | 2020-10-02 |
| 1740896695 | Eastern Iowa Sleep Supply, LLC | Durable Medical Equipment & Medical Supplies | 275 10th St Se Ste 1130-b, Cedar Rapids, IA 52403-2450 | 2020-09-16 |
| 1588278402 | Cass County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 1501 E 10th St Ste 105, Atlantic, IA 50022-1936 | 2020-09-08 |
| 1366061400 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 808 East Pierce Street, Council Bluffs, IA 51503-4626 | 2020-04-09 |
| 1689208829 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 625 Court St Ste P, Sioux City, IA 51101-1919 | 2020-02-26 |
| 1548805278 | University of Iowa Community Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 200 Hawkins Dr Ste 1105, Iowa City, IA 52242-1009 | 2019-11-18 |
| 1821649237 | Wendy Lynn Wohlwend | Durable Medical Equipment & Medical Supplies | 125 W Salem Ave, Indianola, IA 50125-2550 | 2019-09-26 |
| 1639739055 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1029 S Riverside Dr Ste 100, Iowa City, IA 52246-5616 | 2019-06-18 |
| 1427614627 | Dr. John's Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 1840 W 48th St, Davenport, IA 52806-4642 | 2019-05-13 |
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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.