MATTHEW L BURRELL (NPI# 1679521835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679521835 |
| Entity Type | Individual |
| Full Name | MATTHEW L BURRELL |
| Credential | DPM |
| Practice Address |
144 Highland St Plymouth NH 03264-1240 |
| Practice Telephone | 6035364563 |
| Practice Fax Number | 6035361056 |
| Mailing Telephone | 6035364563 |
| Mailing Fax Number | 6035361056 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 287 | NH | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | POD 1026 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 03Z003885ME01 | 01 |
| CIGNA | 1301419 | 01 | |
| ME | 188430000 | 05 | |
| NH | 30362275 | 05 | |
| NH | ANTHEM | 03Y003885ME01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780650283 | Matthew O Burrell | Obstetrics & Gynecology | 759 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2006-02-24 |
| Street Address |
144 HIGHLAND ST |
| City | PLYMOUTH |
| State | NH |
| Zip Code | 03264-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093947111 | Lake Podiatry, P.a. | Podiatrist | 144 Highland St, Plymouth, NH 03264-1240 | 2009-08-24 |
| 1265614259 | James Scales Dpm | Durable Medical Equipment & Medical Supplies | 144 Highland St, Plymouth, NH 03264-1240 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722103 | Maxwell E Johnson | Student in an Organized Health Care Education/Training Program | 17 High St, Plymouth, New Hampshire, Plymouth, NH 03264 | 2019-04-18 |
| 1679059968 | Life Improved, LLC | Psychologist | 300 Main Street, Suite 200, Plymouth, NH 03264 | 2018-07-19 |
| 1033638838 | Evan Hansen | Student in an Organized Health Care Education/Training Program | 5 First Street, Apartment B, Plymouth, NH 03264 | 2017-09-12 |
| 1396263448 | Lauren Burke | Specialist/Technologist | 70 Highland Street, Apartment E, Plymouth, NH 03264 | 2017-09-08 |
| 1174053490 | Ryan J. Schreiner | Specialist/Technologist | 19 High Street, Plymouth, NH 03264 | 2017-06-19 |
| 1972044550 | Heidi Schlenz | Counselor | 536 Tenney Mountain Highway, Plymouth, NH 03264 | 2017-03-15 |
| 1568900892 | Molly Quigley | Specialist/Technologist | 457 North Road, North Sutton, NH 03264 | 2017-02-07 |
| 1982082004 | Erin Marie Klasen-orr | Social Worker | 258 Highland Street, Plymouth, NH 03264 | 2015-05-08 |
| 1578876967 | Bridget Powers | Speech-Language Pathologist | 39 Clay Brook Dr., Plymouth, NH 03264 | 2010-07-14 |
| 1710191390 | Plymouth School District | Local Education Agency (LEA) | 43 Old Ward Bridge Road, Plymouth School District, Plymouth, NH 03264 | 2007-05-10 |
| Find all providers in zip 03264 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003309444 | Plymouth Podiatry PC | Podiatrist | 135 Sandwich St Ste 1, Plymouth, MA 02360-2400 | 2018-06-11 |
| 1952625758 | James Duncan Dpm Pllc | Podiatrist | 13953 Orchard Ct, Plymouth, MI 48170-5291 | 2010-03-23 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1245376987 | Ronald Phillip Adelman | Podiatrist | 990 W Ann Arbor Trl Ste 200, Plymouth, MI 48170-1686 | 2007-01-29 |
| 1144333667 | John William Cheesebro | Podiatrist | 2805 Campus Dr Ste 225, Plymouth, MN 55441-2678 | 2006-08-17 |
| 1174518393 | Mary Ellen Schwartz | Podiatrist | 116 E Washington St, Plymouth, IN 46563-1744 | 2005-09-14 |
| 1700882305 | Thomas Joseph Hardiman | Podiatrist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2005-06-28 |
| 1184626426 | Peter Michael Kaminski | Podiatrist | 75 Washington Ave, Plymouth, PA 18651-1744 | 2005-06-01 |
| 1992095467 | Stephanie Jill Donovan | Podiatrist | 990 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-6204 | 2011-04-18 |
| 1093947111 | Lake Podiatry, P.a. | Podiatrist | 144 Highland St, Plymouth, NH 03264-1240 | 2009-08-24 |
| Find all providers in PLYMOUTH | ||||
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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.