MATTHEW FREDERICK GARCIA (NPI# 1770104028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770104028 |
| Entity Type | Individual |
| Full Name | MATTHEW FREDERICK GARCIA |
| Practice Address |
300 East Hospital Road Fort Gordon GA 30905-5650 |
| Mailing Address |
119 Summertime Dr San Antonio TX 78216-3553 |
| Practice Telephone | 2107249561 |
| Mailing Telephone | 2107249561 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851643 | Matthew Lee Garcia | Licensed Vocational Nurse | 2526 W Kings Hwy, San Antonio, TX 78228-5147 | 2020-02-03 |
| 1609246636 | Matthew Garcia | Military Health Care Provider | 1440 Hotel Cir N Apt 122, San Diego, CA 92108-2913 | 2015-10-02 |
| 1770737884 | Matthew Garcia | Community Health Worker | 778 Byron Dr, Oconomowoc, WI 53066-4369 | 2008-11-17 |
| 1861053357 | Matthew Patrick Garcia | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2019-06-25 |
| 1346777901 | Matthew Garcia | Licensed Practical Nurse | 119 W 124th St, New York, NY 10027-4920 | 2017-05-15 |
| 1578920526 | Matthew Garcia | Dentist | 351 West 6th Street, Bldg 440, U.S. Army Dental Activity, Dental Clinic #1, Fort Stewart, GA 31314-4704 | 2016-01-21 |
| 1558658294 | Matthew D Garcia | Social Worker | 303 W Water St, Suite 108, Flint, MI 48503-5627 | 2011-07-01 |
| 1346558335 | Matthew Garcia | Counselor | 5910 Clark Rd, Suite W, Paradise, CA 95969-4856 | 2010-09-23 |
| 1659686749 | Matthew John Garcia | Counselor | 220 W 2nd St, Portales, NM 88130-6232 | 2010-08-12 |
| 1053514083 | Matthew L. Garcia | Physical Therapy Assistant | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2007-06-07 |
| Street Address |
300 EAST HOSPITAL ROAD |
| City | FORT GORDON |
| State | GA |
| Zip Code | 30905-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613665 | Joseph Melton Bird | Social Worker | 300 East Hospital Road, Room 13a-10, Fort Gordon, GA 30905-5650 | 2005-07-18 |
| 1023616224 | Vernon Thomas Traeder Sharp | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-10-12 |
| 1740894583 | Stephanie Marie Rice | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905 | 2020-08-31 |
| 1710590542 | Kenneth Blind | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-08-31 |
| 1467078519 | Joseph Nathaniel Stancampiano | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30509-5650 | 2020-06-24 |
| 1912523101 | Austin Keith Nokes | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-23 |
| 1992329940 | Eda Chen | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-05 |
| 1154945269 | Yiwei Jiao | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-04 |
| 1942824164 | Camille Lynn | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-03 |
| 1023632429 | Brandon Lee Myers | Student in an Organized Health Care Education/Training Program | 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 1740754308 | Patricia Lynn Blevins | Nurse Practitioner | 300 E Hospital Dr, Augusta, GA 30905 | 2019-01-17 |
| 1861971335 | Isabella Anderson | Dentist | Usa Dental Activity, Hospital Dental Clinic, Bldg 38801 Academic, Ste B&c, Ft Gordon, GA 30905 | 2018-08-07 |
| 1972097426 | Cortney Wolfley | Student in an Organized Health Care Education/Training Program | Orthopaedics Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905 | 2018-06-19 |
| 1003337536 | David Jonathon Sabovich | Dentist | 38801 Academic Dr Ste B&cactivity, Suite B & C, Ft Gordon, GA 30905 | 2017-07-06 |
| 1437689411 | Marcos Aranda | Student in an Organized Health Care Education/Training Program | General Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2017-06-13 |
| 1659809846 | Brian Kevin Burke | Student in an Organized Health Care Education/Training Program | 300 East Hosptial Road, Fort Gordon, GA 30905 | 2017-06-01 |
| 1902334469 | Jacqueline Renee Mulhall | Student in an Organized Health Care Education/Training Program | Ddeamc, 300 E Hospital Rd, General Surgery, Fort Gordon, GA 30905 | 2017-05-30 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1689120016 | Thomas S Moffitt | Internal Medicine | Im, Dwight D Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905 | 2016-08-26 |
| Find all providers in zip 30905 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230387 | William Edward Bane | Student in an Organized Health Care Education/Training Program | 320 W Hospital Rd, Fort Gordon, GA 30905-5741 | 2020-06-23 |
| 1972125763 | Mark Edward Gartner | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, Dwight D. Eisenhower Army, Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2020-05-14 |
| 1184284598 | Nicholas James Carlin | Student in an Organized Health Care Education/Training Program | Medicine, Dwight David Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2019-06-18 |
| 1700446341 | Nicholas John Carter | Student in an Organized Health Care Education/Training Program | Eisenhower Army Medical Center Gme, 300 E. Hospital Rd, Fort Gordon, GA 30905-5650 | 2019-06-17 |
| 1306405931 | Kevin Ryan Patrick | Student in an Organized Health Care Education/Training Program | Interserive Physician Assitant Program, 300 East Hospital Road, Fort Gordon, GA 30905-5670 | 2019-06-07 |
| 1366009805 | Briana Francina Krieger | Student in an Organized Health Care Education/Training Program | 300 East Hospical Road, Fort Gordon, GA 30905-5650 | 2019-05-21 |
| 1639735822 | Jon Thomas Heald | Student in an Organized Health Care Education/Training Program | Internal Medicine, Eisenhower Army Medical Center, Fort Gordon, GA 30905-5650 | 2019-05-14 |
| 1487218269 | David Keith Mecham | Student in an Organized Health Care Education/Training Program | Internal Medicine, Dwight David Eisenhower Army Medical, 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2019-04-26 |
| 1740765544 | Jesse Goldblatt | Student in an Organized Health Care Education/Training Program | Clinical Psychology Internship Program, Ddeamc, 300 East Hospital Road, Fort Gordon, GA 30905-5650 | 2018-09-27 |
| 1902390065 | Rafael Jacob Kaplan | Student in an Organized Health Care Education/Training Program | Ty, Dwight David Eisenhower Army Medical Center, 300 East Hospital Rd, Fort Gordon, GA 30905-5650 | 2018-06-21 |
| Find all providers in FORT GORDON | ||||
| City | FORT GORDON |
| Zip Code | 30905 |
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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.