MATTHEW CARMODY (NPI# 1467914606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467914606 |
| Entity Type | Individual |
| Full Name | MATTHEW CARMODY |
| Credential | STUDENT (DDS) |
| Practice Address |
4700 Las Vegas Blvd N Bldg 1300 Nellis Afb NV 89191-6600 |
| Mailing Address |
4844 Hickory St Omaha NE 68106-2516 |
| Practice Telephone | 4026814101 |
| Mailing Telephone | 4026814101 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104371483 | Matthew Carmody | Dentist | 1015 Columbia, Bridgeport, WA 98813 | 2016-08-17 |
| 1184624488 | Matthew Carmody | Internal Medicine | 330 Mount Auburn St, Primary Care Center, Cambridge, MA 02138-5502 | 2005-07-28 |
| Street Address |
4700 LAS VEGAS BLVD N BLDG 1300 |
| City | NELLIS AFB |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902880677 | Allan Edward Bigtas Jr. | Social Worker | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2005-12-06 |
| 1750910006 | Matthew Patrick O'neil | Dentist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2020-04-07 |
| 1154818938 | Alexis Jane Scott | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2018-04-17 |
| 1538683297 | Daniel Alan Reid | Dentist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2017-08-02 |
| 1477894145 | Shameka Lashay Williams | Advanced Practice Midwife | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2013-03-06 |
| 1720218381 | Ryan Mcneil Proffit | Physical Therapist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2009-07-16 |
| 1134360506 | Matthew Vanderhoek | Anesthesiology | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2009-03-16 |
| 1013160563 | Pamela Landsteiner | Dermatology | 4700 Las Vegas Blvd N Bldg 1300, Dermatology Clinic, Nellis Afb, NV 89191-6600 | 2008-10-28 |
| 1265682645 | Ivy Tat Madson | Optometrist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2008-09-23 |
| 1912182775 | Anthony Allen Walker | Physician Assistant | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2007-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795471 | Drake Alexander Henrie | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Fl 2, Nellis Afb, NV 89191-6600 | 2020-03-22 |
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1821614405 | Aubrey Amanda Blanchette | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-19 |
| 1184250169 | Nohora Catalina Duque | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-03-21 |
| 1235763376 | Kristin Nicole Greer | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-02-27 |
| 1538793989 | Holly Sensabaugh | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-02-25 |
| 1992339584 | Ashley C Gullixson | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-02-24 |
| 1720646979 | Daniel Harren | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2019-06-03 |
| 1346804952 | Mallory Ann Krueger | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2019-04-29 |
| 1205399607 | Eric Vondrak | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2019-04-11 |
| Find all providers in NELLIS AFB | ||||
| City | NELLIS AFB |
| Zip Code | 89191 |
Please comment or provide details below to improve the information on MATTHEW CARMODY.
| 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.