Adam C Matthias (NPI# 1407112600, PAC ID# 5092002246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
Nation Provider ID (NPI) | 1407112600 |
PAC ID by PECOS | 5092002246 |
Professional Enrollment ID | I20161003000887 |
Full Name | Adam C Matthias |
Organization Legal Name | NORTHWEST MISSOURI ORAL AND MAXILLOFACIAL SURGEONS |
Address |
3109 Frederick Ave Suite A Saint Joseph MO 64506-3073 |
Phone Number | 8163644774 |
Gender | M |
Medical School | UNIV OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY |
Graduation Year | 2012 |
Primary Specialty | MAXILLOFACIAL SURGERY |
Group Practice PAC ID | 4385693092 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260006 | MOSAIC LIFE CARE AT ST JOSEPH |
Address | Phone | Organization |
---|---|---|
3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-3073 | 8163644774 | NORTHWEST MISSOURI ORAL AND MAXILLOFACIAL SURGEONS |
Organization Legal Name | NORTHWEST MISSOURI ORAL AND MAXILLOFACIAL SURGEONS |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald L Gossett | Maxillofacial Surgery | Northwest Missouri Oral and Maxillofacial Surgeons | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-3073 |
Ronald W Taylor | Maxillofacial Surgery | Northwest Missouri Oral and Maxillofacial Surgeons | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-3073 |
Street Address |
3109 FREDERICK AVE SUITE A |
City | SAINT JOSEPH |
State | MO |
Zip | 64506-3073 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald L Gossett | Maxillofacial Surgery | Northwest Missouri Oral and Maxillofacial Surgeons | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-3073 |
Ronald W Taylor | Maxillofacial Surgery | Northwest Missouri Oral and Maxillofacial Surgeons | 3109 Frederick Ave, Suite A, Saint Joseph, MO 64506-3073 |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjamin S Reine | Family Medicine | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance C, Mosaic Life Care, St Joseph, MO 64506-1211 |
Juan C Dominguez | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Jonathan C Amspacher | Plastic and Reconstructive Surgery | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Melissa M Farris | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Davin G Turner | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Cody D Hanson | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Alan W Brewer | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Whitney B Atha | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
James G Day | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Ana M Liolios | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Find all physicians in zip 64506 |
City | SAINT JOSEPH |
Zip Code | 64506 |
Specialty | MAXILLOFACIAL SURGERY |
City + Specialty | SAINT JOSEPH + MAXILLOFACIAL SURGERY |
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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.