MATTHEW GERDES (NPI# 1639533391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639533391 |
| Entity Type | Individual |
| Full Name | MATTHEW GERDES |
| Practice Address |
705 Bradbury Ln Sparta IL 62286-2102 |
| Mailing Address |
4156 Water Oak Ln Smithton IL 62285-3666 |
| Practice Telephone | 6184433088 |
| Mailing Telephone | 6186700561 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | P-16058 | MO | Emergency Medical Service Providers |
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 0000935841 | IL | Emergency Medical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861727083 | Matthew Francis Gerdes | Physical Therapist | 232 Norwood Ave, Suite 105, West Long Branch, NJ 07764-1859 | 2009-10-06 |
| Street Address |
705 BRADBURY LN |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900364 | Medstar Ambulance Inc | Ambulance | 705 Bradbury Ln, Sparta, IL 62286-2102 | 2005-08-23 |
| 1235397282 | Medstar Ambulance Inc | Ambulance | 705 Bradbury Ln, Sparta, IL 62286-2102 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568559284 | Cherri Dawn Taylor | Emergency Medical Technician, Paramedic | 516 W Bockman Way, Sparta, TN 38583-1538 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386449 | Stanley Nevels Jr. | Emergency Medical Technician, Paramedic | 314 Indiana St, Park Forest, IL 60466-1159 | 2020-11-07 |
| 1417574468 | Patrick M Walker | Emergency Medical Technician, Paramedic | 40 W Depot St, Antioch, IL 60002-2486 | 2020-06-25 |
| 1407479025 | Steven Michael Ford | Emergency Medical Technician, Paramedic | 7432 162nd Pl, Tinley Park, IL 60477-1543 | 2020-05-19 |
| 1588286926 | Jennifer Lema | Emergency Medical Technician, Paramedic | 1783 Howe Ln, Hanover Park, IL 60133-5940 | 2020-05-07 |
| 1730700113 | Steve Tolley | Emergency Medical Technician, Paramedic | 6103 Willow Springs Rd, La Grange Highlands, IL 60525-7320 | 2020-04-27 |
| 1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
| 1174079388 | Patrick Spears | Emergency Medical Technician, Paramedic | 601 Industrial Park Road, Monmouth, IL 61462 | 2016-08-28 |
| 1194279414 | Joshua Woodward | Emergency Medical Technician, Paramedic | 601 Industrial Park Rd, Monmouth, IL 61462-9796 | 2016-08-04 |
| 1851780506 | Casy Willaim Byrd | Emergency Medical Technician, Paramedic | 3415 N Rochelle Ln, Peoria, IL 61604-1076 | 2015-01-20 |
| 1649546599 | Rachael Teal Smith | Emergency Medical Technician, Paramedic | 28495 N Oak Ln, Libertyville, IL 60048-9411 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
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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.