MATTHEW D MORAVEC (NPI# 1871938696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871938696 |
| Entity Type | Individual |
| Full Name | MATTHEW D MORAVEC |
| Credential | MD |
| Practice Address |
10330 Se 32nd Ave Suite 205 Milwaukie OR 97222-6587 |
| Mailing Address |
Po Box 22075 Milwaukie OR 97269-2075 |
| Practice Telephone | 5035138950 |
| Mailing Telephone | 5036594988 |
| Mailing Fax Number | 5033531273 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD171927 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
10330 SE 32ND AVE SUITE 205 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941154 | John William Ragsdale | Surgery | 10330 Se 32nd Ave, Suite 340, Milwaukie, OR 97222-6587 | 2005-09-08 |
| 1083259717 | Kimberly Kay Amayao | Registered Nurse | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2019-11-18 |
| 1457831455 | Mayanna Lynne Dettwyler | Occupational Therapy Assistant | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2018-08-19 |
| 1427536747 | Mladen Kolundzija | Physical Therapist | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2018-07-30 |
| 1205314580 | Jillian Haney | Physical Therapist | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2018-07-30 |
| 1235640574 | Tram Huyen Thi Pham | Licensed Practical Nurse | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2017-10-13 |
| 1295253367 | Lynda Devery | Registered Nurse | 10330 Se 32nd Ave, Milwaukie, OR 97222-6587 | 2017-09-08 |
| 1831625011 | Rachel K Jackson | Student in an Organized Health Care Education/Training Program | 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222-6587 | 2017-05-05 |
| 1851822555 | Alta May Hertz | Registered Nurse | 10330 Se 32nd Ave, Suite 325, Milwaukie, OR 97222-6587 | 2017-03-23 |
| 1073053351 | Lucy Rideout | Registered Nurse | 10330 Se 32nd Ave, 110, Milwaukie, OR 97222-6587 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| 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 |
|---|---|---|---|---|
| 1649355462 | Justin E Osborn | Family Medicine | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2006-10-27 |
| 1376599910 | Randall Fryer | Family Medicine | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2006-05-25 |
| 1699723304 | Joseph E. Yankee | Family Medicine | 6564 Se Lake Road, Suite 100, Milwaukie, OR 97222-2238 | 2006-05-04 |
| 1689639841 | Marcus H Cornwall | Family Medicine | 6975 Se Lake Rd, Milwaukie, OR 97267-2103 | 2006-04-19 |
| 1346218369 | Oak Grove Family Medical Clinic P C | Family Medicine | 2250 Se Oak Grove Blvd #b, Milwaukie, OR 97267-2670 | 2006-03-08 |
| 1811970346 | Sara K. Becker | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2005-11-29 |
| 1659361517 | John C Stiger | Family Medicine | 15195 Se Thornton Dr, Milwaukie, OR 97267-2551 | 2005-10-24 |
| 1396735254 | Roberta W Ruggeri | Family Medicine | 2250 Se Oakgrove Blvd, Suite B, Milwaukie, OR 97267-2659 | 2005-10-24 |
| 1922492586 | Christelle Serra-van Brunt | Family Medicine | 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222-6587 | 2015-03-22 |
| 1932469335 | Mathew Snodgrass | Family Medicine | 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222-6594 | 2012-05-21 |
| Find all providers in MILWAUKIE | ||||
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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.