MATTHEW B GRUNDFAST (NPI# 1124011085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124011085 |
| Entity Type | Individual |
| Full Name | MATTHEW B GRUNDFAST |
| Credential | D.O. |
| Practice Address |
2740 Ray Knight Way Ste 100 Albany GA 31707-0226 |
| Mailing Address |
2740 Ray Knight Way Albany GA 31707-0226 |
| Practice Telephone | 2293120698 |
| Practice Fax Number | 2294387898 |
| Mailing Telephone | 2293120698 |
| Mailing Fax Number | 2294387898 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
052944 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Fairview Park Dr, Dublin, GA 310212565 | 4782771255 | 4783041467 |
| 111 Fairview Park Dr, Dublin, GA 310212501 | 4782771929 | 4783041468 |
| Street Address |
2740 RAY KNIGHT WAY STE 100 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-0226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285254128 | Ashley B Wood | Nurse Practitioner | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2020-04-21 |
| 1679103147 | Belinda Jean Menke | Nurse Practitioner | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2020-01-23 |
| 1407341902 | Kristi S Stewart | Nurse Practitioner | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2018-06-27 |
| 1417477811 | Doriann Tift Stempinski | Nurse Practitioner | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2017-06-27 |
| 1548790496 | Susan O Furro | Nurse Practitioner | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2017-06-14 |
| 1265979983 | Kendra Armstrong | Nurse Practitioner | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2017-01-20 |
| 1447346721 | Ruth Datmare Montalvo | Internal Medicine | 2740 Ray Knight Way Ste 100, Albany, GA 31707-0226 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447567649 | Hubertus Heinrich Nietsch | Internal Medicine | 47 New Scotland Ave # Mc48, Pysicians Pavillion, 4th Floor, Albany, NY 12208-3412 | 2010-09-09 |
| 1932333093 | Domenico Viterbo | Internal Medicine | 1375 Washington Ave Ste 101, Albany, NY 12206-1056 | 2009-05-05 |
| 1750341905 | Albert Edward Ryckman | Internal Medicine | 631 Elm St. Sw, Suite 202, Albany, OR 97321 | 2006-03-23 |
| 1871587170 | Marsha G Pierdinock | Internal Medicine | 1009 N Monroe St, Albany, GA 31701-1903 | 2005-09-01 |
| 1376816199 | Albany-capital Region Gastroenterology Consultants Co Pllc | Internal Medicine | 1375 Washington Avenue, Suite 101, Albany, NY 11206-1040 | 2012-02-10 |
| 1255575262 | Matthew Gregory Warndorf | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2009-04-22 |
| 1447498076 | Sajid Hussain | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2009-02-04 |
| 1043465214 | Clyde Aulgin Collins | Internal Medicine | 113 Holland Ave., Albany, NY 12208 | 2008-12-01 |
| 1356509574 | Robert Joseph Gianotti IIi | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2008-05-23 |
| 1952589210 | Jennifer A Northrop | Internal Medicine | 1375 Washington Ave, Suite 101, Albany, NY 12206-1040 | 2008-02-08 |
| Find all providers in ALBANY | ||||
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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.