Matthew J Enos (NPI# 1962577262, PAC ID# 5496788143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962577262 |
| PAC ID by PECOS | 5496788143 |
| Professional Enrollment ID | I20050914000370 |
| Full Name | Matthew J Enos |
| Organization Legal Name | GARDNER FAMILY MEDICINE INC |
| Address |
57 City Hall Ave Gardner MA 01440-2614 |
| Phone Number | 9786303862 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9234225343 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220095 | HEYWOOD HOSPITAL - |
| 221303 | ATHOL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 57 City Hall Ave, Gardner, MA 01440-2614 | 9786303862 | GARDNER FAMILY MEDICINE INC |
| Organization Legal Name | GARDNER FAMILY MEDICINE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Ryan | Family Medicine | Gardner Family Medicine Inc | 57 City Hall Ave, Gardner, MA 01440-2614 |
| Carol A Furnari | Physician Assistant | Gardner Family Medicine Inc | 57 City Hall Ave, Gardner, MA 01440-2614 |
| Erik Wisniewski | Nurse Practitioner | Gardner Family Medicine Inc | 57 City Hall Ave, Gardner, MA 01440-2614 |
| Street Address |
57 CITY HALL AVE |
| City | GARDNER |
| State | MA |
| Zip | 01440-2614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Ryan | Family Medicine | Gardner Family Medicine Inc | 57 City Hall Ave, Gardner, MA 01440-2614 |
| Carol A Furnari | Physician Assistant | Gardner Family Medicine Inc | 57 City Hall Ave, Gardner, MA 01440-2614 |
| Jeffrey D Moser | Podiatry | 57 City Hall Ave, Gardner, MA 01440-2614 | |
| Erik Wisniewski | Nurse Practitioner | Gardner Family Medicine Inc | 57 City Hall Ave, Gardner, MA 01440-2614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Haas | Endocrinology | Umass Memorial Medical Group Inc | 242 Green St, Gardner, MA 01440-1336 |
| Mustafa M Syed | Psychiatry | 242 Green St, Gardner, MA 01440-1336 | |
| Abby Brockelbank | Nurse Practitioner | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Shawn Anthony Berkowitz | Family Medicine | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Margo B Wood | Nurse Practitioner | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Marc V Bisceglia | Physician Assistant | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Kenneth M Sicard | Diagnostic Radiology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Jessica A Darnobid | Anesthesiology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Efran Candelaria | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Cory Michael Nohl | Psychiatry | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Find all physicians in zip 01440 | |||
| City | GARDNER |
| Zip Code | 01440 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GARDNER + PHYSICIAN ASSISTANT |
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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.