DR. MATTHEW DAVID OETTINGER (NPI# 1790002418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790002418 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAVID OETTINGER |
| Credential | MD |
| Practice Address |
6602 Knightdale Blvd Suite 202 Knightdale NC 27545-6525 |
| Practice Telephone | 9197475270 |
| Practice Fax Number | 9197475271 |
| Mailing Telephone | 9197475270 |
| Mailing Fax Number | 9197475271 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2014-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2013-00364 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
6602 KNIGHTDALE BLVD SUITE 202 |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789394 | Linwood Worth Watson | Family Medicine | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-7130 | 2005-06-10 |
| 1538693627 | Cynthia Topley | Dietitian, Registered | 6602 Knightdale Blvd, #202, Knightdale, NC 27545-6525 | 2017-04-14 |
| 1801345855 | Tyler Giese | Social Worker | 6602 Knightdale Blvd, Suite 201, Knightdale, NC 27545-6525 | 2016-09-30 |
| 1720431372 | Melissa Stieb | Physical Therapy Assistant | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2016-07-19 |
| 1619303690 | Private Diagnostic Clinic, Pllc | Pediatrics | 6602 Knightdale Blvd, Suite 204, Knightdale, NC 27545-6525 | 2013-09-23 |
| 1851660807 | Gaben | Pharmacy | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2011-12-20 |
| 1669615167 | Jacqueline Farber Kerkow | Pediatrics | 6602 Knightdale Blvd, Ste 204, Knightdale, NC 27545-6525 | 2009-04-13 |
| 1811155807 | Segmia Kenna Tohnya | Pharmacist | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2008-05-28 |
| 1538358619 | Dianne Treacy Lore | Nurse Practitioner | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2007-10-15 |
| 1073723227 | Tracy Wogan Kendrick | Internal Medicine | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6525 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| 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 |
|---|---|---|---|---|
| 1306899125 | Raleigh Durham Medical Group Pa | Family Medicine | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 | 2006-05-19 |
| 1124070529 | Jeffrey M Keil | Family Medicine | 6602 Knightdale Blvd Ste 102, Knightdale, NC 27545 | 2006-05-16 |
| 1013989862 | William Grant Jr. | Family Medicine | 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545-6526 | 2006-02-06 |
| 1154305548 | Robert Stark Adams Jr. | Family Medicine | 6905 Knightdale Blvd, Ste 106, Knightdale, NC 27545-6505 | 2005-11-30 |
| 1740279033 | John K Campbell | Family Medicine | 162 Legacy Oaks Dr, Suite 102, Knightdale, NC 27545-6556 | 2005-10-19 |
| 1790789394 | Linwood Worth Watson | Family Medicine | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-7130 | 2005-06-10 |
| 1649757113 | Heather Johnson Lawson | Family Medicine | 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545-6526 | 2018-07-26 |
| 1659649663 | Minal Prashant Desai | Family Medicine | 162 Legacy Oaks Dr, Knightdale, NC 27545-6556 | 2011-12-05 |
| 1164710810 | Unc Physicians Network, LLC | Family Medicine | 6602 Knightdale Blvd Ste 202, Knightdale, NC 27545-6526 | 2011-07-15 |
| 1366678377 | Dustin R. Pierson | Family Medicine | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 | 2009-06-04 |
| Find all providers in KNIGHTDALE | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
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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.