MATTHEW PROCTOR (NPI# 1831326610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831326610 |
| Entity Type | Individual |
| Full Name | MATTHEW PROCTOR |
| Credential | M.D. |
| Practice Address |
15790 Paul Vega Md Dr Radiology Department Hammond LA 70403-1434 |
| Practice Telephone | 9852306700 |
| Practice Fax Number | 9852301528 |
| Mailing Telephone | 9852306700 |
| Mailing Fax Number | 9852301528 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
204214 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | LA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1950882 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750919395 | Matthew Corbin Proctor | Dentist | 2702 W Deyoung St, Marion, IL 62959-4950 | 2020-03-30 |
| 1932127412 | Matthew David Proctor | Otolaryngology | 1815 E 19th St, Ste 1, The Dalles, OR 97058-3385 | 2006-07-17 |
| 1164451407 | Matthew Todd Proctor | Family Medicine | 2026 S Jackson St, Jacksonville, TX 75766-5822 | 2006-06-30 |
| Street Address |
15790 PAUL VEGA MD DR RADIOLOGY DEPARTMENT |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364075 | Julie Joyce | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2005-05-30 |
| 1487267456 | Adrienne Hymel Holdridge | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-08-28 |
| 1417573213 | Jennifer Steib | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-06-18 |
| 1215559505 | Matthew Peralta | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-05-11 |
| 1215559596 | Tyare Standberry | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-05-10 |
| 1306466396 | Whitney Adams Phillips | Specialist/Technologist | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-04-20 |
| 1174152573 | Jessica Granier Pollet | Registered Nurse | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-04-07 |
| 1780216655 | Courtney A Muller | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-02-10 |
| 1558900159 | Tyler G Nelson | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-12-30 |
| 1104485390 | Brittany Janel-helen Roussel | Dietitian, Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
| 1942498613 | Douglas Matthew Casey | Radiology | 15790 Paul Vega, Md Drive, Radiology Department, Hammond, LA 70403 | 2007-10-09 |
| 1629299730 | Fredrick Austin Lewis | Radiology | 22 Pin Oak Ln, Hammond, LA 70401-8201 | 2007-05-02 |
| 1922081025 | Robert D Reinhart | Radiology | 15790 Paul Vega Dr, Department of Radiology, Hammond, LA 70403-1434 | 2005-11-22 |
| 1679564264 | Roy Divittorio | Radiology | 15837 Paul Vega Md Dr, Suite 200, Hammond, LA 70403-1462 | 2005-11-02 |
| 1174865968 | Sean Michael Gipson | Radiology | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2013-03-20 |
| 1184833188 | Benjamin Wade Wilkerson | Radiology | 15837 Paul Vega Md Dr, Hammond, LA 70403-1495 | 2007-05-22 |
| 1306952957 | Jong Liu | Radiology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-08-23 |
| 1437175221 | Robert Edmond Smith | Radiology | 15790 Paul Vega Md Dr, Department of Radiology, Hammond, LA 70403-1434 | 2006-07-14 |
| 1568406619 | Edward Ray Hernandez Jr. | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2006-06-16 |
| Find all providers in HAMMOND | ||||
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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.