Theodore R Matheny (NPI# 1619060530, PAC ID# 3476631367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1619060530 |
| PAC ID by PECOS | 3476631367 |
| Professional Enrollment ID | I20080417000242 |
| Full Name | Theodore R Matheny |
| Organization Legal Name | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Address |
590 Bogachiel Way Forks WA 98331-9120 |
| Phone Number | 3603746998 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1557256468 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501325 | FORKS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 590 Bogachiel Way, Forks, WA 98331-9120 | 3603746998 | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| 590 Bogachiel Way, Bogachiel Clinic, Forks, WA 98331-9120 | 3603746998 | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Organization Legal Name | CLALLAM COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Flowers | General Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Street Address |
590 BOGACHIEL WAY |
| City | FORKS |
| State | WA |
| Zip | 98331-9120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janina H Dinio | Clinical Social Worker | 32 Silver Pine Dr Ne, Suite 300 B, Bremerton, WA 98331 | |
| Teresa Neprud | Nurse Practitioner | Clallam County Public Hospital District No 1 | 461 G St, Forks, WA 98331-9025 |
| Tristan M Mcgovern | Orthopedic Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Harry E Lyndes Iii | Family Medicine | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Emery Jin-toh Chang | General Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Rebecca D Pfaff | Family Medicine | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| William H Coyne | Hospitalist | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| James F Flowers | General Surgery | Clallam County Public Hospital District No 1 | 390 Founders Way, Bogachiel Clinic, Forks, WA 98331-9062 |
| Jonas Merrill | Physician Assistant | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Jubilee P Mattix | Nurse Practitioner | Clallam County Public Hospital District No 1 | 530 Bogachiel Way, Forks, WA 98331-9120 |
| Find all physicians in zip 98331 | |||
| City | FORKS |
| Zip Code | 98331 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FORKS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Theodore R Matheny.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.