DR. MATTHEW C KERGOSIEN


Address: 3650 Laurel Street, Beaumont, TX 77707
Phone: 4098380346

DR. MATTHEW C KERGOSIEN (NPI# 1801070842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801070842
Entity Type Individual
Full Name DR. MATTHEW C KERGOSIEN
Credential M.D.
Practice Address 3650 Laurel Street
Beaumont
TX 77707
Practice Telephone 4098380346
Practice Fax Number 4098393720
Mailing Telephone 4098380346
Mailing Fax Number 4098393720
Enumeration Date 2007-12-27
Last Update Date 2015-04-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery Q0081 TX Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery 106957 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 3650 LAUREL STREET
City BEAUMONT
State TX
Zip Code 77707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952480550 Michael J Grecula Orthopaedic Surgery 3650 Laurel Street, Beaumont, TX 77707 2006-11-03
1043756265 Monica M Hall Nurse Practitioner 3650 Laurel Street, Beaumont, TX 77707 2017-01-11
1295964583 Eric Chapman Orthopaedic Surgery 3650 Laurel Street, Beaumont, TX 77707 2009-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437718004 Kelsey Marie Burt Speech-Language Pathologist 87 I-10, Beaumont, TX 77707 2019-06-07
1245898808 Primary Care Anywhere, Pllc Nurse Practitioner 4347 Phelan, Suite 101, Beaumont, TX 77707 2019-05-30
1598321663 Kacy Keitha Priddy Occupational Therapist 1846 I-10 S, Suite 102, Beaumont, TX 77707 2019-05-14
1144791963 Jeffery Ray Manzer Counselor 3350 Dowlen Rd Suite J, Beaumont, TX 77707 2018-12-06
1497247217 Haley Hebert Speech-Language Pathologist 87 I 10 N, Suite 225, Beaumont, TX 77707 2018-06-06
1548712383 Taylor Miguez Speech-Language Pathologist 87 I-10 Frontage Rd #225, Beaumont, TX 77707 2016-10-27
1720534043 Jacie Woodson Speech-Language Pathologist 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 2016-08-28
1285187047 Paula Boudreaux Speech-Language Pathologist 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 2016-07-28
1790138568 Meagan Alyse Hartwick Speech-Language Pathologist 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 2016-07-18
1376992578 Laurie Lynette Jansky Family Medicine 3650 Laurel Ave, Beaumont, TX 77707 2016-06-08
Find all providers in zip 77707

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952480550 Michael J Grecula Orthopaedic Surgery 3650 Laurel Street, Beaumont, TX 77707 2006-11-03
1346224359 Sezefredo Paulo Depaiva Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2005-12-02
1063922730 Lamar University Orthopaedic Surgery 211 Redbird Ln, Beaumont, TX 77705-9801 2017-10-06
1639431661 Darryl Thomas Blalock Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2012-06-14
1295964583 Eric Chapman Orthopaedic Surgery 3650 Laurel Street, Beaumont, TX 77707 2009-07-07
1982709432 Mark Thomas Reis Orthopaedic Surgery 81 Highland Springs Ave, Suite 103, Beaumont, CA 92223-3170 2006-09-13
1891898144 Oscar Jovan Currie IIi Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2006-09-05
1083698898 Jerry Doyle Clark Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2005-12-05
1992789713 Burnet Todd Clarke Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2005-12-05
1144204967 Jack Gober Mcneill Orthopaedic Surgery 3650 Laurel St, Beaumont, TX 77707-2216 2005-12-05
Find all providers in BEAUMONT

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City BEAUMONT
Zip Code 77707

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Dataset Information

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.

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