Matthew Ernest Hiestand (NPI# 1497723613, PAC ID# 6406987593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497723613 |
| PAC ID by PECOS | 6406987593 |
| Professional Enrollment ID | I20100707000172 |
| Full Name | Matthew Ernest Hiestand |
| Organization Legal Name | AULTMAN NORTH CANTON MEDICAL GROUP |
| Address |
10724 State Route 212 Ne Bolivar OH 44612-8740 |
| Phone Number | 3308747165 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4082605266 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360010 | UNION HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 3308747165 | AULTMAN NORTH CANTON MEDICAL GROUP |
| 2600 6th St Sw, Canton, OH 44718-1702 | 3304386333 | AULTMAN NORTH CANTON MEDICAL GROUP |
| 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 3304331200 | AULTMAN NORTH CANTON MEDICAL GROUP |
| Organization Legal Name | AULTMAN NORTH CANTON MEDICAL GROUP |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Baters | Nurse Practitioner | Aultman North Canton Medical Group | 2037 Wales Ave Nw, Suite 110, Massillon, OH 44646-4185 |
| Matthew J Maurice | Urology | Aultman North Canton Medical Group | 2600 W Tucarawas St, Suite 400, Canton, OH 44708-4644 |
| Marybeth Smith | Nurse Practitioner | Aultman North Canton Medical Group | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 |
| Bryan A Lewis | Nurse Practitioner | Aultman North Canton Medical Group | 6512 Whipple Ave Nw, North Canton, OH 44720-7340 |
| Amy Yoder | Qualified Audiologist | Aultman North Canton Medical Group | 832 S Main St, Suite 7 and 8, Orrville, OH 44667-2208 |
| Kevin K Hill | Internal Medicine | Aultman North Canton Medical Group | 2600 Tuscarawas St W, Suite 440, Canton, OH 44708-4698 |
| Joseph Alan Cook | Family Medicine | Aultman North Canton Medical Group | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 |
| Jennifer M Tarr | Internal Medicine | Aultman North Canton Medical Group | 2500 Wales Ave Nw, Suite A, Massillon, OH 44646-2324 |
| Jennifer W Krusemark-millin | Family Medicine | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Julia M Fiorentino | Internal Medicine | Aultman North Canton Medical Group | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 |
| Street Address |
10724 STATE ROUTE 212 NE |
| City | BOLIVAR |
| State | OH |
| Zip | 44612-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marybeth Smith | Nurse Practitioner | Aultman North Canton Medical Group | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 |
| Mark A Hillyer | Family Medicine | Aultman North Canton Medical Group | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 |
| Harry G Mcdonnell | Family Practice | Aultman North Canton Medical Group | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Emley | Chiropractic | Emley Family Chiropractic Inc | 387 Edgebrook Blvd Ne, Bolivar, OH 44612-8706 |
| Michelle L Hamm | Chiropractic | Emley Family Chiropractic Inc | 387 Edgebrook Blvd Ne, Bolivar, OH 44612-8706 |
| Kelly A Farrell | Chiropractic | Emley Family Chiropractic Inc | 387 Edgebrook Blvd Ne, Bolivar, OH 44612-8706 |
| William W Emley Jr. | Chiropractic | Emley Family Chiropractic Inc | 387 Edgebrook Blvd Ne, Bolivar, OH 44612-8706 |
| City | BOLIVAR |
| Zip Code | 44612 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BOLIVAR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew Ernest Hiestand.
| 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.