Matthew Scott Jennings (NPI# 1891801148, PAC ID# 2961501457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1891801148 |
| PAC ID by PECOS | 2961501457 |
| Professional Enrollment ID | I20070625000376 |
| Full Name | Matthew Scott Jennings |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Address |
10780 Kinsman Rd Newbury OH 44065-9792 |
| Phone Number | 4405645656 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 6002713922 |
| Number of Group Practice Members | 155 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10780 Kinsman Rd, Newbury, OH 44065-9792 | 4405645656 | LAKE HOSPITAL SYSTEM, INC. |
| 36100 Euclid Ave, Willoughby, OH 44094-4427 | LAKE HOSPITAL SYSTEM, INC. |
| Organization Legal Name | LAKE HOSPITAL SYSTEM, INC. |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Golemgeski | Family Medicine | Lake Hospital System, Inc. | 29804 Lake Shore Blvd, Willowick, OH 44095-4611 |
| Christina J Scott | Nurse Practitioner | Lake Hospital System, Inc. | 36500 Euclid Ave, Willoughby, OH 44094-4455 |
| Kimberly Svec | Nurse Practitioner | Lake Hospital System, Inc. | 5105 Som Ctr Rd, Willoughby, OH 44094-4203 |
| Kristin G Biddell | Nurse Practitioner | Lake Hospital System, Inc. | 7956 Tyler Blvd, Mentor, OH 44060-4806 |
| Bonnie L Broida | Physician Assistant | Lake Hospital System, Inc. | 7590 Auburn Rd, Concord, OH 44077-9176 |
| Amy Marie Livingston | Nurse Practitioner | Lake Hospital System, Inc. | 7685 Lake Shore Blvd, Mentor, OH 44060-3359 |
| Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Joseph J Kessler Jr. | Family Medicine | Lake Hospital System, Inc. | 6270 N Ridge Rd, Madison, OH 44057-2567 |
| Simee I Malik | Pediatric Medicine | Lake Hospital System, Inc. | 8881 Schaeffer St, Mentor, OH 44060-5035 |
| Sandeep V Kotak | Internal Medicine | Lake Hospital System, Inc. | 36100 Euclid Ave, Willoughby, OH 44094-4427 |
| Street Address |
10780 KINSMAN RD |
| City | NEWBURY |
| State | OH |
| Zip | 44065-9792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy Jean Ianiro | Nurse Practitioner | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Nancy J Kelley | Nurse Practitioner | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Bruce Rongone Costarella | Family Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Douglas F Long | Physician Assistant | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Cheryl W Sacerich | Family Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Deborah A Cooney | Nurse Practitioner | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Gapin P Dorado | General Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Gina L Posluszny | Pediatric Medicine | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Susan Eastabrooks | Nurse Practitioner | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Leticia Cox | Obstetrics/gynecology | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Silver | General Practice | 11890 Kinsman Rd, Newbury, OH 44065-9690 | |
| Steven M Takacs | Family Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| John P Ferron | General Surgery | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Adrienne M Colabuno | Physician Assistant | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Cynthia L Caja | Family Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Lawrence H Wilson | Family Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| Farhan Rehman | Family Practice | Lake Hospital System, Inc. | 10780 Kinsman Rd, Newbury, OH 44065-9792 |
| City | NEWBURY |
| Zip Code | 44065 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | NEWBURY + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Matthew Scott Jennings.
| 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.