COREY MATTHEWS (NPI# 1407958473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407958473 |
Entity Type | Individual |
Full Name | COREY MATTHEWS |
Credential | D.C. |
Practice Address |
403 S 11th St Suite #110 Boise ID 83702-6968 |
Mailing Address |
Po Box 7442 Boise ID 83707-1442 |
Practice Telephone | 2083436900 |
Practice Fax Number | 2083430642 |
Mailing Telephone | 2083436900 |
Mailing Fax Number | 2083430642 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIA-802 | ID | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | BLUE CROSS | C1542 | 01 |
ID | BLUE SHIELD | 000010006850 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063888345 | Corey Matthews | Radiology | 744 W 9th St, Tulsa, OK 74127-9020 | 2015-08-20 |
Street Address |
403 S 11TH ST SUITE #110 |
City | BOISE |
State | ID |
Zip Code | 83702-6968 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720068760 | Irinel N Stanciu | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2006-01-17 |
1801113329 | St Luke's Regional Medical Center | Internal Medicine | 403 S 11th St, Ste 100, Boise, ID 83702-6969 | 2010-04-23 |
1912130394 | Lori Ann Rishel | Nurse Practitioner | 403 S 11th St, Suite 135, Boise, ID 83702-6969 | 2009-09-01 |
1053584284 | Michael R Bailey Md Dds Pa | Dentist | 403 S 11th St, Suite 300, Boise, ID 83702-6968 | 2008-04-09 |
1689845026 | Patrick Casey | Chiropractor | 403 S 11th St, Suite 110, Boise, ID 83702-6968 | 2008-03-13 |
1518165984 | Idaho Endocrinology, Pllc | Internal Medicine | 403 S 11th St, Suite 100, Boise, ID 83702-6968 | 2007-07-06 |
1659414399 | Richard B. Christensen, M.d. | Internal Medicine | 403 S 11th St, Suite 100, Boise, ID 83702-6968 | 2007-02-14 |
1255489746 | Gihan E. Dawood | Internal Medicine | 403 S 11th St, Suite 100, Boise, ID 83702-6969 | 2007-01-08 |
1184772865 | Klena Chiropractic Clinic | Chiropractor | 403 S 11th St, Suite 110, Boise, ID 83702-6968 | 2007-01-08 |
1841385523 | Brett Troyer | Internal Medicine | 403 S 11th St, Suite 210, Boise, ID 83702-6969 | 2006-10-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
Find all providers in zip 83702 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
1356992788 | John Robert Bynum | Chiropractor | 6013 W Overland Rd Ste 101, Boise, ID 83709-3078 | 2019-09-26 |
1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
1780150292 | Nicolas Asla | Chiropractor | 403 S 11th St Ste 110, Boise, ID 83702-6968 | 2018-10-23 |
1386110385 | Chase Dudley | Chiropractor | 503 N 27th St, Boise, ID 83702-4704 | 2018-10-17 |
1730663634 | Ty Rodriguez | Chiropractor | 9328 W Overland Rd, Boise, ID 83709-2505 | 2018-09-18 |
1083128151 | Rebecca L Jergenson | Chiropractor | 2300 S Orchard St Ste A, Boise, ID 83705-6723 | 2017-11-27 |
1558809558 | Dixon Mooseau | Chiropractor | 1390 S Maple Grove Rd Ste 200, Boise, ID 83709-1610 | 2017-02-09 |
1790237956 | Oscar Terrazas Jr. | Chiropractor | 5244 W Overland Rd, Boise, ID 83705-2636 | 2016-11-03 |
Find all providers in BOISE |
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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.