DR. MATTHEW WILLIAM TETREAULT (NPI# 1093152340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093152340 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WILLIAM TETREAULT |
| Credential | M.D. |
| Practice Address |
Mayo Clinic 200 1st St Sw Rochester MN 55905 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072842511 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2018-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 70002 | WI | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 63745 | MN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 125063117 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 West Ave S, La Crosse, WI 546014783 | 6087850940 |
| Street Address |
MAYO CLINIC 200 1ST ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691612 | Elliot Jackson Bruhl | Family Medicine | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2005-12-23 |
| 1811481146 | Sherrill Joan Elizabeth Rose | Obstetrics & Gynecology | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2018-06-20 |
| 1972090868 | Thomas John Breen | Internal Medicine | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2018-04-17 |
| 1093245482 | Vishnu Vardhan Serla | Pathology | Mayo Clinic 200 1st St Sw, Rochester, MN 55905-0001 | 2017-06-18 |
| 1760916852 | Mary V. Baker | Obstetrics & Gynecology | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2017-04-14 |
| 1598298242 | David Abarbanel | Internal Medicine | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2017-04-10 |
| 1134652704 | Matthew Hardman | Anesthesiology | Mayo Clinic 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-10 |
| 1720511496 | Abdulrahman Saadalla | Pathology | Mayo Clinic 200 1st St Sw, Rochester, MN 55905-0001 | 2017-04-09 |
| 1316470321 | Courtney Enright Baker | Orthopaedic Surgery | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2017-04-06 |
| 1710419270 | Ersida Buraniqi | Pediatrics | Mayo Clinic 200 1st St Sw, Rochester, MN 55905 | 2017-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982538 | University Orthopaedic Associates of Rochester | Orthopaedic Surgery | 10 S Pointe Lndg Ste 100, Rochester, NY 14606-3481 | 2018-08-14 |
| 1568713584 | A. Ronald Rook | Orthopaedic Surgery | 2660 Fairway Ct, Rochester, MI 48306-4953 | 2012-10-01 |
| 1245588680 | Louis C Okafor | Orthopaedic Surgery | 41 Stewart St, Apartment A, Rochester, NY 14620-2822 | 2012-08-15 |
| 1417249541 | Sandeep Paul Soin | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2011-05-08 |
| 1588956601 | Michael C M Yip | Orthopaedic Surgery | The Linden Oaks Medical Campus, 30 Hagen Drive, Suite 22, Rochester, NY 14625-2658 | 2011-05-08 |
| 1083903371 | Matthew C Bessette | Orthopaedic Surgery | 20 Hagen Dr Ste 110, Rochester, NY 14625-2665 | 2011-04-07 |
| 1467606939 | Sherwin Goldman | Orthopaedic Surgery | 715 Woodhaven Ct Ne, Rochester, MN 55906-6936 | 2008-11-11 |
| 1679722888 | John Steven Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr, Suite 100, Rochester, MI 48307 | 2008-09-11 |
| 1750549143 | Susan M Mcdowell | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2008-06-02 |
| 1407045602 | Nicholas S. Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr., Rochester, MI 48307 | 2007-10-24 |
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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.