Thomas Jarrad Matzke (NPI# 1639121304, PAC ID# 1456304104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1639121304 |
| PAC ID by PECOS | 1456304104 |
| Professional Enrollment ID | I20051129001060 |
| Full Name | Thomas Jarrad Matzke |
| Organization Legal Name | SANFORD MEDICAL CENTER FARGO |
| Address |
520 Chautauqua Blvd Valley City ND 58072-3145 |
| Phone Number | 7018456000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8426967803 |
| Number of Group Practice Members | 714 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350011 | SANFORD MEDICAL CENTER FARGO |
| Address | Phone | Organization |
|---|---|---|
| 1245 Washington Ave, Detroit Lakes, MN 56501-3905 | 2188462000 | SANFORD MEDICAL CENTER FARGO |
| 2400 32nd Ave S, Fargo, ND 58103-5800 | 7012348800 | SANFORD MEDICAL CENTER FARGO |
| 4656 40th Ave S, Fargo, ND 58104-4397 | 7012348860 | SANFORD MEDICAL CENTER FARGO |
| 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 7018456000 | SANFORD MEDICAL CENTER FARGO |
| Organization Legal Name | SANFORD MEDICAL CENTER FARGO |
| Physicians | 563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Smolen | Nurse Practitioner | Sanford Medical Center Fargo | 4000 28th Ave S, Moorhead, MN 56560-7460 |
| Ahmed M Kassem | Ophthalmology | Sanford Medical Center Fargo | 1717 University Dr S, Fargo, ND 58103-4939 |
| Sugong Chen | General Surgery | Sanford Medical Center Fargo | 621 Demers Ave, East Grand Forks, MN 56721-1812 |
| Ashley Heule | Certified Registered Nurse Anesthetist (crna) | Sanford Medical Center Fargo | 5225 23rd Ave S, Fargo, ND 58104-7927 |
| Amy Iva Stevahn | Nurse Practitioner | Sanford Medical Center Fargo | 2801 University Dr S, Fargo, ND 58103-6029 |
| Cynthia Vingelen | Nurse Practitioner | Sanford Medical Center Fargo | 1220 Sheyenne St, West Fargo, ND 58078-2637 |
| Scott B Phillips | Neurosurgery | Sanford Medical Center Fargo | 700 1st Ave S, Fargo, ND 58103-1802 |
| Amanda Helmer | Nurse Practitioner | Sanford Medical Center Fargo | 1111 Harwood Dr S, Fargo, ND 58104-4603 |
| Lakshmi K Pathak | Internal Medicine | Sanford Medical Center Fargo | 520 Chautauqua Blvd, Valley City, ND 58072-3145 |
| Sonja A Lien | Family Practice | Sanford Medical Center Fargo | 2400 32nd S Ave, Sanford Southpointe Clinic, Fargo, ND 58103-5800 |
| Street Address |
520 CHAUTAUQUA BLVD |
| City | VALLEY CITY |
| State | ND |
| Zip | 58072-3145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lakshmi K Pathak | Internal Medicine | Sanford Medical Center Fargo | 520 Chautauqua Blvd, Valley City, ND 58072-3145 |
| Jeffrey Paul Stavenger | Orthopedic Surgery | Sanford Medical Center Fargo | 520 Chautauqua Blvd, Valley City, ND 58072-3145 |
| Mark A Lundeen | Orthopedic Surgery | Sanford Medical Center Fargo | 520 Chautauqua Blvd, Valley City, ND 58072-3145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent S Fronk | Optometry | Professional Eyecare Centers, P.C.. | 200 Central N Ave F, Valley City, ND 58072 |
| Justin Reed Foell | Chiropractic | 150 9th Ave Nw, Valley City, ND 58072-2726 | |
| Kim Foell | Chiropractic | Foell Chiropractic Clinic Pa | 150 9th Ave Nw, Valley City, ND 58072-2726 |
| Jeffrey D Brown | Chiropractic | Central Avenue Chiropractic PC | 323 Central Ave N, Suite 202, Valley City, ND 58072-2915 |
| Larry E Sayler | Chiropractic | Central Avenue Chiropractic PC | 323 Central Ave N, Suite 202, Valley City, ND 58072-2915 |
| Nathan T Sayler | Chiropractic | Central Avenue Chiropractic PC | 323 Central Ave N, Suite 202, Valley City, ND 58072-2915 |
| James R Torrance | Family Medicine | Innovis Health, LLC | 132 4th Ave Ne, Valley City, ND 58072-3056 |
| Becky J Sorenson | Physical Therapy | Innovis Health, LLC | 132 4th Ave Ne, Valley City, ND 58072-3056 |
| Gregory C Glasner | Obstetrics/gynecology | Innovis Health, LLC | 132 4th Ave Ne, Valley City, ND 58072-3056 |
| Janice K Gabriel Johnson | Occupational Therapy | 136 2nd Neave, Valley City, ND 58072-3063 | |
| Find all physicians in zip 58072 | |||
| City | VALLEY CITY |
| Zip Code | 58072 |
| Specialty | DERMATOLOGY |
| City + Specialty | VALLEY CITY + DERMATOLOGY |
Please comment or provide details below to improve the information on Thomas Jarrad Matzke.
| 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.