DR. MATTHEW LUNDQUIST (NPI# 1952585762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952585762 |
Entity Type | Individual |
Full Name | DR. MATTHEW LUNDQUIST |
Credential | MD |
Practice Address |
534 Saybrook Rd Middlesex Hospital Occupational Medicine Middletown CT 06457-4754 |
Practice Telephone | 8603582750 |
Enumeration Date | 2007-12-28 |
Last Update Date | 2011-08-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
047789 | CT | Allopathic & Osteopathic Physicians |
Street Address |
534 SAYBROOK RD MIDDLESEX HOSPITAL OCCUPATIONAL MEDICINE |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-4754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689634826 | Middlesex Hospital | Preventive Medicine | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-03-23 |
1982211199 | Marissa Louise Goodnight | Nurse Practitioner | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2020-09-30 |
1497223739 | Rachel Kaunas | Dietitian, Registered | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2018-11-05 |
1225232341 | Diana Marie Sadler | Occupational Therapist | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2007-06-13 |
1073684148 | Michelle B Mayer | Physical Therapist | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-11-12 |
1447297619 | Jonathan Mittelman | Preventive Medicine | 534 Saybrook Rd, Middletown, CT 06457-4754 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
Find all providers in zip 06457 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689126336 | Geoffrey Etherington | Preventive Medicine | 302 Rte 81, Killingworth, CT 06419 | 2016-10-28 |
1184930455 | Khaula Khatlani | Preventive Medicine | 975 Farmington Ave Ste 1, Bristol, CT 06010-3964 | 2010-08-25 |
1306074570 | James P Mooney Jr. | Preventive Medicine | 352 Timberlane Dr, Orange, CT 06477-2845 | 2009-06-26 |
1407004955 | Leo Albert Millette | Preventive Medicine | 185 Old Branchville Rd, Ridgefield, CT 06877-6013 | 2008-09-08 |
1902821267 | Alexander Blair Smith | Preventive Medicine | 1075 Tolland Tpke, Manchester, CT 06042-1609 | 2006-07-13 |
1710957261 | Paul C Kelleher | Preventive Medicine | 169 High Meadow Ln, Mystic, CT 06355-1651 | 2006-01-26 |
1427028216 | Kathryn Lee Johnson | Preventive Medicine | 20 Goodwin St, Niantic, CT 06357-3610 | 2006-01-24 |
1235736315 | Healthstat Health Center Aces | Preventive Medicine | 261 Skiff St, Hamden, CT 06517-1016 | 2020-10-02 |
1457732703 | Louis Fazen | Preventive Medicine | 135 College St Fl 3, New Haven, CT 06510-2483 | 2015-06-12 |
1053747691 | Jonathan Borak | Preventive Medicine | 234 Church St, New Haven, CT 06510-1804 | 2013-09-15 |
Find all providers with the same taxonomy |
City | MIDDLETOWN |
Zip Code | 06457 |
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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.