DR. GERARD A MATYSIK (NPI# 1750367124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750367124 |
| Entity Type | Individual |
| Full Name | DR. GERARD A MATYSIK |
| Credential | DO |
| Practice Address |
405 Monroe St Pella IA 50219-1189 |
| Practice Telephone | 6416283832 |
| Practice Fax Number | 6416212335 |
| Mailing Telephone | 6416283832 |
| Mailing Fax Number | 6416212335 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
OS11802 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI NUMBER | 1750367124 | 01 | |
| IA | MEDICARE PTAN NUMBER | 560910040 | 01 |
| Street Address |
405 MONROE ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557411 | Dale Lee Lensing | Obstetrics & Gynecology | 405 Monroe St, Pella, IA 50219-1189 | 2005-06-08 |
| 1932619475 | Pella Regional Health Center Clinic Pharmacy | Pharmacy | 405 Monroe St, Pella, IA 50219 | 2017-10-11 |
| 1952810087 | Jessica Lee Streeter | Nurse Practitioner | 405 Monroe St, Pella, IA 50219-1189 | 2017-09-20 |
| 1740649300 | Tamara Jean Pommer | Physical Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-11 |
| 1750740361 | Janna Marie Hansen-nolin | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-11 |
| 1487013017 | Tara Dawn Temperly-leidigh | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1275991804 | Jacklyn Sue Lowe | Speech-Language Pathologist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1487012001 | Amy Jean Herdegen | Physical Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1225496854 | Sarah Christine Vogel | Occupational Therapist | 405 Monroe St, Pella, IA 50219-1189 | 2016-02-10 |
| 1528434859 | Mindy Baccam Southammavong | Physician Assistant | 405 Monroe St, Pella, IA 50219-1189 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
| Find all providers in zip 50219 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
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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.