DR. MATTHEW WILLIAM WAACK (NPI# 1740486992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740486992 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WILLIAM WAACK |
| Credential | D.O. |
| Practice Address |
12406 Stable Forest Dr San Antonio TX 78249-4614 |
| Practice Telephone | 2106905296 |
| Practice Fax Number | 2106905296 |
| Mailing Telephone | 2106905296 |
| Mailing Fax Number | 2106905296 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
2065 | OK | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
K9928 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801911011 | Matthew Lawrence Waack | Chiropractor | 115 Mckinsey Dr, Maquoketa, IA 52060-2014 | 2007-03-20 |
| 1831151802 | Matthew L Waack | Radiology | 2463 S M 30, West Branch, MI 48661-9312 | 2006-04-05 |
| Street Address |
12406 STABLE FOREST DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326387291 | Skin Institute | Preventive Medicine | 1901 Babcock Rd Ste 200, San Antonio, TX 78229-4545 | 2013-02-12 |
| 1245498922 | Richard Harris Stoller | Preventive Medicine | 13714 Cape Blf, San Antonio, TX 78216-1605 | 2008-05-29 |
| 1003910720 | Benton Phillips Zwart | Preventive Medicine | 2833 Babcock, Suite 105, Christus Santa Rosa Hyperbaric and Wound Care Center, San Antonio, TX 78229 | 2006-09-12 |
| 1720050347 | Kirby Turner | Preventive Medicine | 109 Meadowbrook Dr, San Antonio, TX 78232-2205 | 2006-02-07 |
| 1457323578 | Hernando Jose Ortega Jr. | Preventive Medicine | 250 Kirknewton Street, San Antonio, TX 78243-7176 | 2006-02-02 |
| 1801875612 | Keith Edward Brandt | Preventive Medicine | 100 Paul Wagner Drive, San Antonio, TX 78241-0000 | 2006-01-10 |
| 1942682869 | Wound Care and Limb Salvage Specialty Group | Preventive Medicine | 1901 Babcock Rd, Suite 200, San Antonio, TX 78229-4554 | 2015-06-27 |
| 1164836185 | Benjamin B Morris | Preventive Medicine | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2014-06-18 |
| 1669608386 | Erik Scott Desoucy | Preventive Medicine | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2009-06-09 |
| 1972737047 | Robert E Carroll | Preventive Medicine | 1 Lone Star Pass Ste 46, San Antonio, TX 78264-3650 | 2009-05-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on DR. MATTHEW WILLIAM WAACK.
| 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.