DR. MATTHEW M CONKLIN (NPI# 1770698722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770698722 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW M CONKLIN |
| Credential | M.D. |
| Practice Address |
690 N Cofco Center Ct Suite 270 Phoenix AZ 85008-6462 |
| Mailing Address |
P.o. Box 29870 Phoenix AZ 85038-9870 |
| Practice Telephone | 6023931010 |
| Practice Fax Number | 6023931011 |
| Mailing Telephone | 6027723800 |
| Mailing Fax Number | 6027723801 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
23552 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 3Z3952 | 01 |
| AZ | 321745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033404694 | Matthew Wayne Conklin | Pharmacist | 214 Viking Plaza Rd, T-2526, Cedar Falls, IA 50613-6936 | 2011-06-12 |
| 1922052448 | Matthew John Conklin | Emergency Medicine | 1055 N Curtis Rd, Boise, ID 83706-1352 | 2006-05-20 |
| Street Address |
690 N COFCO CENTER CT SUITE 270 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933635 | Douglas P Hartzler | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 290, Phoenix, AZ 85008-6474 | 2005-06-21 |
| 1902251077 | Advanced Hand and Wrist Specialists | Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2016-04-26 |
| 1568714152 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Ste 190, Phoenix, AZ 85008-6462 | 2012-10-08 |
| 1841510898 | Keith Alan Jarbo | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 290, Phoenix, AZ 85008-6462 | 2010-06-01 |
| 1831414051 | Shreepal M Shah | Pediatrics | 690 N Cofco Center Ct, Suite 230, Phoenix, AZ 85008-6462 | 2010-03-30 |
| 1598088601 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 270, Phoenix, AZ 85008-6462 | 2010-03-03 |
| 1134453020 | Kathryn Marie Dektor | Physical Therapist | 690 N Cofco Center Ct, Ste 290, Phoenix, AZ 85008-6462 | 2009-09-24 |
| 1275716011 | Arizona Hand and Wrist Specialists | Orthopaedic Surgery | 690 N Cofco Center Ct, Suite 190, Phoenix, AZ 85008-6462 | 2007-12-16 |
| 1194915918 | Daniel Schlecht | Physician Assistant | 690 N Cofco Center Ct, Suite 290, Phoenix, AZ 85008-6462 | 2007-07-27 |
| 1174738785 | Dht Hand Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 690 N Cofco Center Ct, Suite 260, Phoenix, AZ 85008-6462 | 2007-05-14 |
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| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437569787 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 20333 N 19th Ave, Suite 230, Phoenix, AZ 85027-3600 | 2014-05-07 |
| 1770812828 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 3033 N 44th St Ste 360, Phoenix, AZ 85018-7276 | 2009-12-21 |
| 1053365528 | Leonard Bodell | Orthopaedic Surgery | 370 E Virginia Ave Ste 100, Phoenix, AZ 85004-1254 | 2006-05-20 |
| 1679563167 | Douglas A Bobb | Orthopaedic Surgery | 15830 N 35th Ave, Phoenix, AZ 85053-7640 | 2005-10-25 |
| 1972502227 | Arizona Center for Hand Surgery PC | Orthopaedic Surgery | 370 E Virginia Ave, Suite 100, Phoenix, AZ 85004-1214 | 2005-07-19 |
| 1538166152 | Paul Zidel I | Orthopaedic Surgery | 2601 E Roosevelt St, Dept of Surgery, Phoenix, AZ 85008-4973 | 2005-06-29 |
| 1427561893 | Osna Pllc | Orthopaedic Surgery | 3033 N 44th St Ste 100, Phoenix, AZ 85018-7227 | 2017-11-08 |
| 1295289247 | Olubukunola Ayeni | Orthopaedic Surgery | 1111 E Mcdowell Rd, Phoenix, AZ 85006 | 2016-08-08 |
| 1124361373 | Joshua William Hustedt | Orthopaedic Surgery | 500 W Thomas Rd Ste 800, Phoenix, AZ 85013-4217 | 2013-04-05 |
| 1013269604 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 2222 E Highland Ave, Ste 425, Phoenix, AZ 85016-4872 | 2012-10-08 |
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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.