MATTHEW DAVID WALDRON (NPI# 1760460729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760460729 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID WALDRON |
| Credential | M.D. |
| Practice Address |
2217 N University Dr Pembroke Pines FL 33024-3611 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9548838140 |
| Practice Fax Number | 9548838144 |
| Mailing Fax Number | 8127237991 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME125041 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01058185A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200490960A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467526277 | Matthew Kevin Waldron | Chiropractor | 22933 Highway 99, Edmonds, WA 98026-8468 | 2006-11-20 |
| 1700125770 | Matthew Craig Waldron | Physician Assistant | 1765 Old West Broad St, Bldg 2, Ste 200, Athens, GA 30606-2853 | 2013-02-11 |
| 1043521628 | Matthew O Waldron | Anesthesiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2010-06-29 |
| Street Address |
2217 N UNIVERSITY DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679515886 | Vitra R Parkins | Physician Assistant | 2217 N University Dr, Pembroke Pines, FL 33024-3611 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535968 | Staniesha Rodriguez | Family Medicine | 4341 Sw 114th Ter Apt 8406, Pembroke Pines, FL 33025-6644 | 2020-10-14 |
| 1508472937 | Ericka Cheriska | Family Medicine | 900 Sw 125th Way Apt R210, Pembroke Pines, FL 33027-6717 | 2020-09-21 |
| 1629600713 | Maricha Fanega Delacruz-tuason | Family Medicine | 829 Sw 158th Ter, Pembroke Pines, FL 33027-5002 | 2020-02-07 |
| 1407403538 | Yennet Llanes | Family Medicine | 565 Nw 157th Ln, Pembroke Pines, FL 33028-1536 | 2019-08-22 |
| 1366956393 | Claudia Gonzalez | Family Medicine | 293 Sw 179th Ave, Pembroke Pines, FL 33029-3904 | 2017-11-29 |
| 1396258083 | Line Medical Center Inc | Family Medicine | 9050 Pines Blvd Ste 190, Pembroke Pines, FL 33024-6445 | 2017-11-16 |
| 1073963542 | Comprehensive Medical Access ( Cma ) Inc | Family Medicine | 6830 Pines Blvd, Pembroke Pines, FL 33024-7545 | 2016-06-15 |
| 1144601584 | Shukshin Ng | Family Medicine | 626 Sw 106th Ave, Pembroke Pines, FL 33025-6908 | 2015-06-11 |
| 1497174981 | Garcia-juarbe Medical | Family Medicine | 1473 Sw 116th Ave, Pembroke Pines, FL 33025-3771 | 2014-04-10 |
| 1720379753 | Sergio Guiteau | Family Medicine | 1 Sw 129th Ave Ste 205, Pembroke Pines, FL 33027 | 2011-04-25 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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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.