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Physician Compare National (NPI:1275510125)

HEALTHCARE PROVIDER: QUINTEN P MATTHEWS DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1275510125
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2860411394
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051115000009
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MATTHEWS
Individual professional last name
Provider First Name QUINTEN
Individual professional first name
Provider Middle Name P
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DPM
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name NEW YORK COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1997
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4355 W 16TH AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 208
Group Practice or individual's line 2 address
City HIALEAH
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 330127669
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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