MATTHEW JOSEPH WIERSMA (NPI# 1770178493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770178493 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOSEPH WIERSMA |
| Gender | Male |
| Credential | PHARM.D. |
| Practice Address | 920 W Waltann Ln Phoenix AZ 85023-4465 |
| Practice Telephone | 6027100568 |
| Mailing Address | 920 W Waltann Ln Phoenix AZ 85023-4465 |
| Mailing Telephone | 6027100568 |
| Certification Date | 2021-03-04 |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S024209 | AZ | Pharmacy Service Providers |
| Street Address | 920 W WALTANN LN |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85023-4465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770170417 | Coletech LLC | Nurse Practitioner · Family | 328 W Kenton Ln., Phoenix, AZ 85023 | 2020-12-29 |
| 1891265468 | Dildora Turakulova | Home Health | 2238 West Faria Ln, Phoenix, AZ 85023 | 2018-11-27 |
| 1811475502 | Nicholas J Campbell | Pharmacist | 18420 N 19th Ave, Phoenix, AZ 85023 | 2018-08-03 |
| 1043700032 | Bell Treatment Center | Clinic/Center · Methadone | 1614 W Bell Rd, Phoenix, AZ 85023 | 2018-05-15 |
| 1366931354 | Thomas R Goodine | Student in an Organized Health Care Education/Training Program | 18444 N 25th Ave, Ste 310, Phoenix, AZ 85023 | 2018-05-04 |
| 1407343510 | Joseph Duke | Physician Assistant · Medical | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2018-04-16 |
| 1518475755 | Ami Marie Podlesnik · Ami Marie Peters | Occupational Therapy Assistant | 14814 N 24th Dr Unit 2, Phoenix, AZ 85023 | 2018-01-22 |
| 1629580436 | Jesse Anderson | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2017-11-02 |
| 1821515222 | In Touch Health & Wellness LLC | Chiropractor | 2306 W Greenway Rd, Phoenix, AZ 85023 | 2017-08-25 |
| 1225589021 | Grayson Halladay | Physician Assistant | 18444 N 25th Ave, Suite 310, Phoenix, AZ 85023 | 2016-10-18 |
| Find all providers in zip 85023 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053906669 | Shamini Oza | 8826 N 23rd Ave, Phoenix, AZ 85021-4154 | 2021-03-05 | |
| 1114511235 | David Harris | 9436 S 47th Pl, Phoenix, AZ 85044-7507 | 2021-03-01 | |
| 1801480256 | Somaya Hegazy | 7815 S 31st Pl, Phoenix, AZ 85042-7121 | 2021-02-25 | |
| 1790378131 | Gloria Katherine Rapp | 15450 N Tatum Blvd, Phoenix, AZ 85032 | 2021-02-17 | |
| 1467044776 | Anthony Allen Branham | 2206 E Clarendon Ave, Phoenix, AZ 85016-6517 | 2021-02-08 | |
| 1629660360 | Tiffany Gutierrez | 28635 N North Valley Pkwy, Phoenix, AZ 85085-5434 | 2021-02-04 | |
| 1659962348 | Julia Marie Lewis · Julia Freberg | 1850 W Dunlap Ave, Phoenix, AZ 85021-2943 | 2021-01-27 | |
| 1861082935 | Francis Xavier Douris | 5555 N 7th St, Phoenix, AZ 85014-2584 | 2021-01-22 | |
| 1376133686 | Joshua J Walden | 1300 N 12th St Ste 406, Phoenix, AZ 85006-2848 | 2021-01-20 | |
| 1457941841 | Reylene Sanchez | 3442 W Van Buren St, Phoenix, AZ 85009-4708 | 2021-01-20 | |
| Find all providers in PHOENIX | ||||
| City | PHOENIX |
| Zip Code | 85023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588115786 | Matthew Wiersma | Student in an Organized Health Care Education/Training Program | 1813 W Parks Rd, Saint Johns, MI 48879-9262 | 2016-10-23 |
| 1417009192 | Glenn Albert Wiersma · Glenn Albert Wiersma | Chiropractor | 3800 Piedmont Avenue, Oakland, CA 94611-5354 | 2007-01-16 |
| 1346888922 | Joseph Matthew Artoglou · Joseph Matthew Artoglou | Neuromusculoskeletal Medicine, Sports Medicine | 60a Bay St, Sag Harbor, NY 11963-3106 | 2019-12-14 |
| 1093957508 | Matthew Joseph Walsh | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | 2009-03-30 |
| 1578839932 | Joseph M Adler · Joseph Matthew Moore | Internal Medicine | 747 Broadway, Seattle, WA 98122 | 2012-03-29 |
| 1033584321 | Evan Wiersma | Physical Therapist | 309 Railroad St, Hull, IA 51239-7413 | 2015-12-11 |
| 1417931833 | Teresa J Wiersma | Nurse Practitioner · Family | 504 S High St, Randolph, WI 53956-1499 | 2005-11-30 |
| 1295961209 | Michele Kay Wiersma | Counselor · Mental Health | 326 Croton Rd, Melbourne, FL 32935-6340 | 2009-06-04 |
| 1417947540 | Rustan J Wiersma | Otolaryngology | 191 Theatre Rd, Onalaska, WI 54650-8679 | 2005-10-28 |
| 1265924336 | Sarah Wiersma Gorski | Registered Nurse | 605 Oak St, Big Rapids, MI 49307-2048 | 2018-06-04 |
Please provide details on MATTHEW JOSEPH WIERSMA by submitting the form below, or post on facebook comments.
Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.
| 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.