Active NPI
Matthew S Angove
- Naturopath
- Chehalis, WA
National Provider Identifier
1639403587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NT60114231
- Practice address
- 91 SW Chehalis Ave
Chehalis, WA 98532-1934 - Phone
- (360) 367-6446
- NPI assigned
- Sep 24, 2009
- Last updated
- Nov 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NT60114231 | WA | Primary |
Addresses
Primary practice location
91 SW Chehalis Ave
Chehalis, WA 98532-1934
Mailing address
PO Box 1020
Rochester, WA 98579-1020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60114231 | WA | MD | Naturopath |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Angove Family Medicine
- Clinic/Center
- Centralia, WA
- NPI 1598254617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1639403587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1020",
"city": "ROCHESTER",
"state": "WA",
"postal_code": "985791020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 SW CHEHALIS AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985321934",
"telephone_number": "360-367-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGOVE",
"first_name": "MATTHEW",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-24",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60114231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.