MATHEW T KRAUS (NPI# 1235178047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235178047 |
| Entity Type | Individual |
| Full Name | MATHEW T KRAUS |
| Credential | M.D. |
| Practice Address |
657 E Broadway Blvd Suite D Jefferson City TN 37760-4948 |
| Practice Telephone | 8653756005 |
| Practice Fax Number | 8654710244 |
| Mailing Telephone | 8653756005 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 40967 | TN | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 40967 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
657 E BROADWAY BLVD SUITE D |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639129323 | Aqueel M Kouser | Internal Medicine | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 | 2006-05-11 |
| 1073979522 | Jeff City Pharmacist Group LLC Dba Md Pharmacy Store 2 | Pharmacy | 657 E Broadway Blvd, Jefferson City, TN 37760 | 2016-01-13 |
| 1205226032 | Healthstar Physicians, PC | Internal Medicine | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 | 2015-02-02 |
| 1528317054 | Miranda Hickle | Nurse Practitioner | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2012-08-30 |
| 1487961173 | Mountain View Pediatrics and Internal Medicine | Clinic/Center | 657 E Broadway Blvd, Jefferson City, TN 37760-4948 | 2010-09-02 |
| 1689846271 | Patricia Annette Waddell | Nurse Practitioner | 657 E Broadway Blvd, Suite C, Jefferson City, TN 37760-4948 | 2008-03-24 |
| 1285788323 | Steven Todd Sheedlo | Emergency Medicine | 657 E Broadway Blvd, Ste. C, Jefferson City, TN 37760 | 2007-01-23 |
| 1902820624 | Laura Kraus | Pediatrics | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2006-07-26 |
| 1902822588 | Optimus Health Center, Inc. | Physical Therapist | 657 E Broadway Blvd, Jefferson City, TN 37760-4906 | 2006-07-15 |
| 1740231646 | Debra A Lane | Family Medicine | 657 E Broadway Blvd, Healthstar Physicians Ste C, Jefferson City, TN 37760 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1821228388 | Capital Region Medical Center | Internal Medicine | 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 | 2009-07-19 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1316122245 | Walter Christopher Coats | Internal Medicine | 3501 W Truman Blvd # A, Jefferson City, MO 65109-0514 | 2008-01-09 |
| 1851314215 | Felipe B. Manalo | Internal Medicine | 115 Business Loop 70 W., Jefferson City, MO 65203 | 2006-07-26 |
| 1508896952 | William J Williams | Internal Medicine | 1526 Meadow Spring Dr, Jefferson City, TN 37760-2041 | 2006-07-03 |
| 1447230131 | James F. Tritz | Internal Medicine | 3501a West Truman Boulevard, Jefferson City, MO 65109 | 2006-01-19 |
| 1235117698 | Sangeeta Jain-roberts | Internal Medicine | 1619 Paddlewheel Cir, Jefferson City, MO 65109-1293 | 2006-01-05 |
| 1538143219 | John F. Sanfelippo | Internal Medicine | 1241 West Stadium Boulevard, Jefferson City, MO 65109 | 2005-12-06 |
| 1184612889 | Tin Maung Oo | Internal Medicine | 100 St. Marys Medical Plaza, Jefferson City, MO 65101 | 2005-10-07 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.