Matthew J Tiefenbrunn (NPI# 1457393712, PAC ID# 4981598646) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457393712 |
| PAC ID by PECOS | 4981598646 |
| Professional Enrollment ID | I20100508000009 |
| Full Name | Matthew J Tiefenbrunn |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Address |
1375 N Hwy Dr Mercy Clinic At Work Maritz Fenton MO 63026-1929 |
| Phone Number | 3147294676 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214827922 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260052 | MERCY HOSPITAL WASHINGTON |
| 261337 | MISSOURI BAPTIST SULLIVAN HOSPITAL |
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 | 3147294676 | MERCY CLINIC EAST COMMUNITIES |
| 802 Mel Carnahan Dr, Suite 215, Hillsboro, MO 63050-2427 | 6365432281 | MERCY CLINIC EAST COMMUNITIES |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Physicians | 383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Winchester | Family Medicine | Mercy Clinic East Communities | 2223 Technology Dr, Suite 35, O Fallon, MO 63368-7272 |
| Amy Marie Saak | Nurse Practitioner | Mercy Clinic East Communities | 802 Mel Carnahan Dr, Suite 215, Hillsboro, MO 63050-2427 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Graham Tyler Foster | Family Medicine | Mercy Clinic East Communities | 9338 Olive Blvd, Suite 100a, Saint Louis, MO 63132-3248 |
| Danielle Besand | Nurse Practitioner | Mercy Clinic East Communities | 521 Anwijo Way, Warrenton, MO 63383-1388 |
| Candace Parker Fleming | Physician Assistant | Mercy Clinic East Communities | 739 W Springfield Ave, Gerald, MO 63037-2135 |
| Andrea M Schuster | Family Medicine | Mercy Clinic East Communities | 301 Theresa St, Cuba, MO 65453-1636 |
| Patrice Burnett | Nurse Practitioner | Mercy Clinic East Communities | 1390 Us Hwy 61 N-1000, Mercy Clinic Family Medicine Jeffe, Festus, MO 63028-4136 |
| Angela Mehler | Nurse Practitioner | Mercy Clinic East Communities | 5194 Jeremiah Blvd, Hillsboro, MO 63050-5815 |
| Spencer Cotterell | Physical Medicine and Rehabilitation | Mercy Clinic East Communities | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 |
| Street Address |
1375 N HWY DR MERCY CLINIC AT WORK MARITZ |
| City | FENTON |
| State | MO |
| Zip | 63026-1929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Hari T Srihari | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 1055 Bowles Ave, Suite 200, Fenton, MO 63026-2308 |
| Chad C Shelton | Interventional Pain Management | Pro Pain LLC | 1055 Bowles Ave, Suite 202, Fenton, MO 63026-2308 |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew J Tiefenbrunn.
| 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.