Matthew B Woods Iv (NPI# 1831294487, PAC ID# 2062443096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1831294487 |
| PAC ID by PECOS | 2062443096 |
| Professional Enrollment ID | I20091204000051 |
| Full Name | Matthew B Woods Iv |
| Organization Legal Name | NOTTAWASEPPI HURON BAND OF THE POTAWATOMI |
| Address |
1474 Mno Bmadzewen Way Fulton MI 49052-9623 |
| Phone Number | 2697294422 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2769441286 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 | 2697294422 | NOTTAWASEPPI HURON BAND OF THE POTAWATOMI |
| Organization Legal Name | NOTTAWASEPPI HURON BAND OF THE POTAWATOMI |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Anne Stark | Registered Dietitian Or Nutrition Professional | Nottawaseppi Huron Band of The Potawatomi | 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 |
| Tadd A Heft | Internal Medicine | Nottawaseppi Huron Band of The Potawatomi | 311 State St Se, Grand Rapids, MI 49503-4312 |
| Jolane S Conklin | Nurse Practitioner | Nottawaseppi Huron Band of The Potawatomi | 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 |
| Hope M Howard | Physician Assistant | Nottawaseppi Huron Band of The Potawatomi | 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 |
| Street Address |
1474 MNO BMADZEWEN WAY |
| City | FULTON |
| State | MI |
| Zip | 49052-9623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Anne Stark | Registered Dietitian Or Nutrition Professional | Nottawaseppi Huron Band of The Potawatomi | 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 |
| Jolane S Conklin | Nurse Practitioner | Nottawaseppi Huron Band of The Potawatomi | 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 |
| Hope M Howard | Physician Assistant | Nottawaseppi Huron Band of The Potawatomi | 1474 Mno Bmadzewen Way, Fulton, MI 49052-9623 |
| City | FULTON |
| Zip Code | 49052 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | FULTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Matthew B Woods Iv.
| 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.