DR. MATTHEW BARRY PRIDE (NPI# 1588627855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588627855 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW BARRY PRIDE |
| Credential | MD |
| Practice Address |
3317 Chanate Rd Ste 2c Santa Rosa CA 95404 |
| Practice Telephone | 7075701130 |
| Practice Fax Number | 7075261572 |
| Mailing Telephone | 7075701130 |
| Mailing Fax Number | 7075261572 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G78085 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OOG780850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164832952 | Matthew Broadrick Pride | Rehabilitation Practitioner | 3620 N Rancho Dr Ste 113, Las Vegas, NV 89130-3154 | 2014-05-01 |
| Street Address |
3317 CHANATE RD STE 2C |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132354 | Linda Rooklin Petrulias | Nurse Practitioner | 3317 Chanate Rd, Santa Rosa, CA 95404-1737 | 2005-11-23 |
| 1518334374 | Dawnmichelle Tucker | Registered Nurse | 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404-1737 | 2015-08-27 |
| 1841477304 | Walter R. Hickey | Social Worker | 3317 Chanate Rd, Santa Rosa, CA 95404-1737 | 2008-01-28 |
| 1639268667 | Sutter Medical Group of The Redwoods | Obstetrics & Gynecology | 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404-1737 | 2006-10-11 |
| 1720189962 | Carole Parone Garrett | Midwife | 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404-1737 | 2006-09-26 |
| 1437263530 | Kimberly Irene Valadez | Social Worker | 3317 Chanate Rd, Santa Rosa, CA 95404-1737 | 2006-08-18 |
| 1023042181 | Felipa Jones | Nurse Practitioner | 3317 Chanate Rd, Suite 2c, Santa Rosa, CA 95404 | 2006-07-11 |
| 1932162419 | Ashley Kay Weinert | Obstetrics & Gynecology | 3317 Chanate Rd, Ste 2c, Santa Rosa, CA 95404 | 2006-04-07 |
| 1881679694 | Gail Catherine Browder | Nurse Practitioner | 3317 Chanate Rd, Santa Rosa, CA 95404-1737 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346696358 | Ira Golditch | Obstetrics & Gynecology | 1401 Fountaingrove Pkwy, #305, Santa Rosa, CA 95403-5757 | 2016-05-09 |
| 1962777318 | John P. Renfree | Obstetrics & Gynecology | 6010 Melita Rd, Santa Rosa, CA 95409-5725 | 2012-03-19 |
| 1427349869 | Nicole Boon Jung Kwon | Obstetrics & Gynecology | 34 Mark West Springs Road, Second Floor, Santa Rosa, CA 95403 | 2011-04-20 |
| 1285957936 | Sahar Doctorvaladan | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 200, Santa Rosa, CA 95405-4559 | 2010-03-09 |
| 1801992128 | Womens Ob/gyn Medical Group | Obstetrics & Gynecology | 500 Doyle Park Drive, Suite 103, Santa Rosa, CA 95405-9559 | 2006-09-15 |
| 1811902612 | Lela M Emad | Obstetrics & Gynecology | 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | 2006-07-30 |
| 1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
| 1831123447 | Leonard John Klay | Obstetrics & Gynecology | 1927 E Foothill Dr, Santa Rosa, CA 95404-3154 | 2006-07-10 |
| 1902422280 | Khawaja Md Inc | Obstetrics & Gynecology | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404-4813 | 2020-06-22 |
| 1164816252 | Estrelania S Williams | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 | 2015-03-26 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
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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.