MATTHEW KANGAS (NPI# 1750674222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750674222 |
Entity Type | Individual |
Full Name | MATTHEW KANGAS |
Credential | MD |
Practice Address |
1350 Concourse Ave Ste 363 Memphis TN 38104-2023 |
Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
Practice Telephone | 9012606161 |
Practice Fax Number | 9012606162 |
Mailing Telephone | 9017258347 |
Mailing Fax Number | 9012597637 |
Enumeration Date | 2011-05-17 |
Last Update Date | 2020-02-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
54762 | TN | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
54762 | TN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154674448 | Matthew Ray Kangas | Social Worker | 2717 N Grandview Blvd, Suite 303, Waukesha, WI 53188-1672 | 2012-10-24 |
Street Address |
1350 CONCOURSE AVE STE 363 |
City | MEMPHIS |
State | TN |
Zip Code | 38104-2023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447241021 | Bradley W. Wargo | Anesthesiology | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2005-11-02 |
1043850241 | Sara Beth Brauninger | Physician Assistant | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2020-01-15 |
1306348826 | Constance Simpson | Registered Nurse | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2018-02-28 |
1982070918 | Jennifer James | Chiropractor | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2015-08-13 |
1821474107 | Nancyanne Page Hickman | Physical Therapist | 1350 Concourse Ave Ste 363, Memphis, TN 38104 | 2015-08-10 |
1942596291 | Michelle Adams | Physician Assistant | 1350 Concourse Ave Ste 363, Memphis, TN 38104-2023 | 2011-06-24 |
1033295886 | Msk Group, PC | Physical Medicine & Rehabilitation | 1350 Concourse Ave Ste 363, Memphis, TN 38104 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
Find all providers in zip 38104 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144381930 | Pain Clinic Associates Pllc | Pain Medicine | 55 Humphreys Center Drive, Suite 200, Memphis, TN 38120-2366 | 2006-12-13 |
1689663239 | Roger S Cicala | Pain Medicine | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2005-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699257444 | Comprehensive Neurology Center Pllc | Pain Medicine | 5651 Frist Blvd Ste 413, Hermitage, TN 37076-2058 | 2018-08-29 |
1508245515 | Cameron Kluth | Pain Medicine | 101 Med Tech Pkwy Ste 200, Johnson City, TN 37604-4001 | 2015-05-22 |
1215354253 | Robert Winslow Caughey | Pain Medicine | 300 Steam Plant Rd Ste 410, Gallatin, TN 37066-3065 | 2014-03-27 |
1750680328 | Roane County Interventional Pain Management LLC | Pain Medicine | 1468 Gateway Ave, Rockwood, TN 37854-4143 | 2011-03-22 |
1194856773 | Gregory Richard Bowers | Pain Medicine | 1510 Hatcher Ln, Suite 1, Columbia, TN 38401-4813 | 2007-03-08 |
1912938291 | Robert Alan Coles | Pain Medicine | 1012 Executive Dr, Hixson, TN 37343-3993 | 2006-07-05 |
1952396384 | Giovanni Faccia | Pain Medicine | 230 E James M Campbell Blvd Ste 102, Columbia, TN 38401-0504 | 2005-09-12 |
1639644917 | Comprehensive Neurology Center, Pllc | Pain Medicine | 415 Henslee Dr, Dickson, TN 37055-2166 | 2018-10-12 |
1659855252 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 1720 E Reelfoot Ave Ste 200, Union City, TN 38261-6049 | 2018-09-19 |
1376026310 | Southern Pain and Regenerative Medicine PC | Pain Medicine | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-09-14 |
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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.