Eugenio B Matos (NPI# 1023128444, PAC ID# 4486755279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1023128444 |
| PAC ID by PECOS | 4486755279 |
| Professional Enrollment ID | I20070724000156 |
| Full Name | Eugenio B Matos |
| Organization Legal Name | SANFORD CLINIC |
| Address |
20 S Plum Urogyn and Female Pelv Vermillion SD 57069-3346 |
| Phone Number | 6056249111 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430027 | SANFORD USD MEDICAL CENTER |
| 241347 | SANFORD CANBY MEDICAL CENTER |
| 431335 | HURON REGIONAL MEDICAL CENTER |
| 241371 | SANFORD LUVERNE MEDICAL CENTER |
| 430008 | BROOKINGS HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1200 S Euclid Ave, 104 Fam Med Snfrd Mb1, Sioux Falls, SD 57105-0430 | 6053287595 | SANFORD CLINIC |
| 1210 W 18th St, Sioux Falls, SD 57104-4650 | SANFORD CLINIC | |
| 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 | 6053282929 | SANFORD MEDICAL CENTER |
| 1305 W 18 St, Sioux Falls, SD 57105-0401 | SANFORD MEDICAL CENTER | |
| 1305 W 18 St, Sanford Vascular Associates, Sioux Falls, SD 57105-0401 | 6053283350 | SANFORD MEDICAL CENTER |
| 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 | 6056249111 | SANFORD CLINIC |
| 20 S Plum St, Vermillion, SD 57069-3346 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Shauna M Jacobs | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Street Address |
20 S PLUM UROGYN AND FEMALE PELV |
| City | VERMILLION |
| State | SD |
| Zip | 57069-3346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Stanton | Cardiac Electrophysiology | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Jerome W Freeman | Neurology | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Kerry R Jerke | Nurse Practitioner | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Amy N Sanford | Hematology/oncology | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Rachel A Potter | Physician Assistant | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Angelo N Santos | Vascular Surgery | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Marian S Petrasko | Interventional Cardiology | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Valentina S Joseph | Neurology | Sanford Clinic | 20 S Plum, Urogyn and Female Pelv, Vermillion, SD 57069-3346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia L Johnson | Optometry | Brown Optometric Clinic PC | 11 Shriner St, Vermillion, SD 57069-1155 |
| Kevin M Brown | Optometry | Brown Optometric Clinic PC | 11 Shriner St, Vermillion, SD 57069-1155 |
| Jessica J Messersmith | Qualified Audiologist | State of South Dakota | 414 E Clark St, Vermillion, SD 57069-2307 |
| Erin Deroos | Physical Therapy | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Sarah M Roob | Physical Therapy | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Gerad A Robertson | Physical Therapy | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Cassandra Feske | Physical Therapy | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Alisha M Fulker | Physical Medicine and Rehabilitation | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Ruth E Scott | Physical Therapy | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Becca D Jordre | Physical Therapy | Great Plains Therapy Inc | 1407 E Cherry St, Vermillion, SD 57069-2602 |
| Find all physicians in zip 57069 | |||
| City | VERMILLION |
| Zip Code | 57069 |
| Specialty | NEUROLOGY |
| City + Specialty | VERMILLION + NEUROLOGY |
Please comment or provide details below to improve the information on Eugenio B Matos.
| 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.