Matthew Jacobson (NPI# 1003360991, PAC ID# 0446548150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003360991 |
| PAC ID by PECOS | 0446548150 |
| Professional Enrollment ID | I20190403001207 |
| Full Name | Matthew Jacobson |
| Organization Legal Name | COWBOY CLINIC AND URGENT CARE, LLC |
| Address |
108 E 20th Ave Torrington WY 82240-2812 |
| Phone Number | 3072690947 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456691013 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531307 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 108 E 20th Ave, Torrington, WY 82240-2812 | 3072690947 | COWBOY CLINIC AND URGENT CARE, LLC |
| Organization Legal Name | COWBOY CLINIC AND URGENT CARE, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth Keller | Nurse Practitioner | Cowboy Clinic and Urgent Care, LLC | 108 E 20th Ave, Torrington, WY 82240-2812 |
| Street Address |
108 E 20TH AVE |
| City | TORRINGTON |
| State | WY |
| Zip | 82240-2812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth Keller | Nurse Practitioner | Cowboy Clinic and Urgent Care, LLC | 108 E 20th Ave, Torrington, WY 82240-2812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luzviminda B Hofer | Clinical Social Worker | Peak Wellness Center Inc | 501 Albany Ave, Torrington, WY 82240-1503 |
| John T Mahoney | Optometry | Scottsbluff Vision Clinic PC | 520 College Dr, Torrington, WY 82240-1517 |
| Benjamin C Jackson | Chiropractic | 522 College Dr, Torrington, WY 82240-1517 | |
| Paul B Colburn | Optometry | Scottsbluff Vision Clinic PC | 520 College Dr, Torrington, WY 82240-1517 |
| Tracy R Richard | Certified Registered Nurse Anesthetist (crna) | Community Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 |
| Jose Luis Lopez Rivera | Family Medicine | Community Hospital | 2000 Campbell Dr, Suite B, Torrington, WY 82240-1528 |
| Jill Truesdale | Physician Assistant | Community Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 |
| Jacob D Bailey | Family Medicine | Community Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 |
| Bonnie L Randolph | Family Medicine | Community Hospital | 2000 Campbell Dr, Suite B, Torrington, WY 82240-1528 |
| Norma S Cantu | Family Medicine | Community Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 |
| Find all physicians in zip 82240 | |||
| City | TORRINGTON |
| Zip Code | 82240 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TORRINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Matthew Jacobson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.