MATTHEW IRELAND (NPI# 1396092193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396092193 |
| Entity Type | Individual |
| Full Name | MATTHEW IRELAND |
| Credential | ATP |
| Practice Address |
100 W Rosedale St Fort Worth TX 76104-4852 |
| Practice Telephone | 8173384848 |
| Practice Fax Number | 8173384450 |
| Mailing Telephone | 8173384848 |
| Mailing Fax Number | 8173384450 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 51419 | TX | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043840 | Matthew Joseph Ireland | Developmental Therapist | 500 Fairway Drive Suite 102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-01-22 |
| 1720415268 | Matthew W Ireland | Anesthesiologist Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2013-09-30 |
| Street Address |
100 W ROSEDALE ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902220023 | Zachary Dean Bevans | Technician, Other | 100 W Rosedale St, Fort Worth, TX 76104-4852 | 2014-02-10 |
| 1063792943 | Bruce Dodd | Specialist/Technologist, Other | 100 W Rosedale St, Fort Worth, TX 76104-4852 | 2011-08-23 |
| 1659665776 | Kristin Edwards | Technician, Other | 100 W Rosedale St, Fort Worth, TX 76104-4852 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
| 1275099327 | Mariela Avila | Technician, Other | 12650 N Beach St Ste 145, Fort Worth, TX 76244-4243 | 2019-02-13 |
| 1811453962 | Ian Neilson | Technician, Other | 12650 N Beach St Ste 146, Fort Worth, TX 76244-4253 | 2019-02-13 |
| 1003328253 | Celestial Marie Randle | Technician, Other | 2312 Wyatt Ct, Fort Worth, TX 76119-3104 | 2017-10-27 |
| 1245766146 | Miranda Elise Cole | Technician, Other | 1717 Fairmount Ave, Fort Worth, TX 76110-1324 | 2017-05-11 |
| 1972038404 | Chelsea Thrower | Technician, Other | 4517 Drake Ln Apt 834, Fort Worth, TX 76137-4593 | 2017-04-21 |
| 1740733443 | Steffanie Anjel Minnifield | Technician, Other | 4537 Heritage Trace Pkwy, Fort Worth, TX 76244-8921 | 2016-07-28 |
| 1972956191 | Andrea Denise Green | Technician, Other | 10457 Winding Passage Way, Fort Worth, TX 76131-3987 | 2016-07-22 |
| 1740632595 | Traci Renae Houston | Technician, Other | 4117 Majestic Ct, Fort Worth, TX 76244-8678 | 2016-07-05 |
| 1891144457 | Angela Kehm | Technician, Other | 8404 Orleans Ln, Fort Worth, TX 76123-1635 | 2016-06-05 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.