Matthew A Kienstra (NPI# 1740329671, PAC ID# 1850300278) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1740329671 |
| PAC ID by PECOS | 1850300278 |
| Professional Enrollment ID | I20060413000025 |
| Full Name | Matthew A Kienstra |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Address |
1965 S Fremont Ave 160 Mc Reconstructive Facial Plas Surg Springfield MO 65804-2243 |
| Phone Number | 4178873223 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 7416865845 |
| Number of Group Practice Members | 931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 1965 S Fremont Ave, 160 Mc Reconstructive Facial Plas Surg, Springfield, MO 65804-2243 | 4178873223 | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Physicians | 976 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody Whittington | Nurse Practitioner | Mercy Clinic Springfield Communities | 149 Rogers Ave, Mc Family Medicine Summersville, Summersville, MO 65571-0001 |
| Mary Booth | Nurse Practitioner | Mercy Clinic Springfield Communities | 3231 S National Ave, 120 Mc Lab Services Sgc, Springfield, MO 65807-7304 |
| Starla Lynnette Smith | Nurse Practitioner | Mercy Clinic Springfield Communities | 104 E Us Hwy 60, Mc Family Medicine Mountain View, Mountain View, MO 65548-7381 |
| Tara Fuchs | Nurse Practitioner | Mercy Clinic Springfield Communities | 448 State Hwy 248, Suite 180, Branson, MO 65616-3725 |
| Heather Stratton | Nurse Practitioner | Mercy Clinic Springfield Communities | 315 E Cleveland Ave, Mc Family Medicine Monett, Monett, MO 65708-1704 |
| Lauryn Murphy Kelly | Nurse Practitioner | Mercy Clinic Springfield Communities | 550 S Hudson Ave, Mc Family Medicine Aurora, Aurora, MO 65605-2362 |
| Laura Windsor | Nurse Practitioner | Mercy Clinic Springfield Communities | 331 Hospital Dr, Suite C, Lebanon, MO 65536-9251 |
| Tamra Lynn Cox | Nurse Practitioner | Mercy Clinic Springfield Communities | 613 Orchard Dr, Berryville, AR 72616-5013 |
| Jessica K Moschner | Nurse Practitioner | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| John Hornick | General Surgery | Mercy Clinic Springfield Communities | 2520 S Springfield Ave, Mc General and Specialty Surg Bolivar, Bolivar, MO 65613-9691 |
| Street Address |
1965 S FREMONT AVE 160 MC RECONSTRUCTIVE FACIAL PLAS SURG |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65804-2243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Cavagnol | General Surgery | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 2950 Mc Federal Medical Center, Springfield, MO 65804-2201 |
| Melissa A Belk | Nurse Practitioner | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 160 Mc Reconstructive Facial Plas Surg, Springfield, MO 65804-2243 |
| Sarah L Jones | Nurse Practitioner | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 270 Mc Ob/gyn S Fremont Suite 270, Springfield, MO 65804-2257 |
| Maria C Dela Rosa | Internal Medicine | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 350 Mc Internal Medicine S Fremont, Springfield, MO 65804-2295 |
| Tyrun Richardson | Urology | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 370 Mc Urology S Fremont, Springfield, MO 65804-2284 |
| Christina L Litherland | Obstetrics/gynecology | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 2950 Mc Federal Medical Center, Springfield, MO 65804-2201 |
| Christa L Torrisi | Nurse Practitioner | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 100 Mc General and Specialty Surgery, Springfield, MO 65804-2299 |
| Kristen Carnes | Occupational Therapy | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 230 Mc General and Trauma Surgery, Springfield, MO 65804-2258 |
| Jason Hall | Physician Assistant | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 2950 Mc Federal Medical Center, Springfield, MO 65804-2201 |
| Brian B Draper | Internal Medicine | Mercy Clinic Springfield Communities | 1965 S Fremont Ave, 2950 Mc Federal Medical Center, Springfield, MO 65804-2201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Carrell | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Ronald W Keeling | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Bary Brown | Optometry | Larimore, Baker, Brown, and Associates, Inc | 1441 E Sunshine, Sunshine Eye Clinic, Springfield, MO 65804-1211 |
| Carolyn S Wampler | Clinical Social Worker | 1736 E Sunshine St, Springfield, MO 65804-1329 | |
| Iran N Cohen | Psychologist, Clinical | 1736 E Sunshine St, Suite 510, Springfield, MO 65804-1331 | |
| Jeanine L Siewert | Clinical Social Worker | 1736 E Sunshine, Suite 811, Springfield, MO 65804-1334 | |
| Sara S Hollis | Psychologist, Clinical | 1736 E Sunshine St, Suite 811, Springfield, MO 65804-1334 | |
| Susan L Waldo | Psychologist, Clinical | 1909 E Bennett St, Suite 106, Springfield, MO 65804-1400 | |
| Stephen R Adams | Family Medicine | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Julie A Macke | Clinical Social Worker | Aids Project of The Ozarks | 1636 S Glenstone Ave, 100 Aids Project of The Ozarks (apo), Springfield, MO 65804-1527 |
| Find all physicians in zip 65804 | |||
| City | SPRINGFIELD |
| Zip Code | 65804 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SPRINGFIELD + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Matthew A Kienstra.
| 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.