Andrew Joseph Matsumoto (NPI# 1235661380, PAC ID# 1850625336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1235661380 |
| PAC ID by PECOS | 1850625336 |
| Professional Enrollment ID | I20190703001324 |
| Full Name | Andrew Joseph Matsumoto |
| Organization Legal Name | NEWMAN MEMORIAL HOSPITAL, INC |
| Address |
905 S Main St Shattuck OK 73858-9205 |
| Phone Number | 5809385500 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2017 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2567482367 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371336 | NEWMAN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 905 S Main St, Shattuck, OK 73858-9205 | 5809385500 | NEWMAN MEMORIAL HOSPITAL, INC |
| Organization Legal Name | NEWMAN MEMORIAL HOSPITAL, INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Hatley | Internal Medicine | Newman Memorial Hospital, Inc | 905 S Main, Shattuck, OK 73858-9205 |
| Wesley A Updike | Emergency Medicine | Newman Memorial Hospital, Inc | 905 S Main St, Shattuck, OK 73858-9205 |
| Samuel C Taylor | Family Medicine | Newman Memorial Hospital, Inc | 905 S Main St, Shattuck, OK 73858-9205 |
| Corey D Finch | Emergency Medicine | Newman Memorial Hospital, Inc | 905 S Main St, Shattuck, OK 73858-9205 |
| Street Address |
905 S MAIN ST |
| City | SHATTUCK |
| State | OK |
| Zip | 73858-9205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley A Updike | Emergency Medicine | Newman Memorial Hospital, Inc | 905 S Main St, Shattuck, OK 73858-9205 |
| Shandy Baggs | Nurse Practitioner | Stuart Family Medicine, Pllc | 905 S Main St, Shattuck, OK 73858-9205 |
| Sapna Makhijani | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 905 S Main St, Cheshire, CT 06410-3418 |
| Samuel C Taylor | Family Medicine | Newman Memorial Hospital, Inc | 905 S Main St, Shattuck, OK 73858-9205 |
| Elizabeth M Reynolds | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 905 S Main St, Cheshire, CT 06410-3418 |
| Corey D Finch | Emergency Medicine | Newman Memorial Hospital, Inc | 905 S Main St, Shattuck, OK 73858-9205 |
| Sarah Nicole Kirchhoff | Family Medicine | Western Missouri Medical Center | 905 S Main St, Concordia, MO 64020-8335 |
| Galina Braylyan | Nurse Practitioner | Mc Diagnostic of Connecticut PC | 905 S Main St, Cheshire, CT 06410-3418 |
| Danna K Stuart | Family Medicine | Stuart Family Medicine, Pllc | 905 S Main St, Shattuck, OK 73858-9205 |
| Shari R Jurgensen | Optometry | 905 S Main St, Lombard, IL 60148-3347 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Hatley | Internal Medicine | Newman Memorial Hospital, Inc | 905 S Main, Shattuck, OK 73858-9205 |
| Jennifer L Berends | Family Medicine | 416 S Main St, Shattuck, OK 73858-9614 | |
| David C Jones | Optometry | 400 S Main St, Shattuck, OK 73858-9614 |
| City | SHATTUCK |
| Zip Code | 73858 |
| Specialty | DERMATOLOGY |
| City + Specialty | SHATTUCK + DERMATOLOGY |
Please comment or provide details below to improve the information on Andrew Joseph Matsumoto.
| 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.