Matthew Gibfried (NPI# 1104887728, PAC ID# 7618985920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104887728 |
| PAC ID by PECOS | 7618985920 |
| Professional Enrollment ID | I20060329000021 |
| Full Name | Matthew Gibfried |
| Organization Legal Name | AGING WELL HEALTH CARE, LLC |
| Address |
7212 Balson Ave Saint Louis MO 63130-3001 |
| Phone Number | 3147265600 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1153232038 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| 261330 | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 3145251328 | ST. ANTHONYS PHYSICIAN ORGANIZATION HOSPITALIST SERVICES L.C. |
| 6 Portland Pl, Saint Louis, MO 63108-1204 | 3144016210 | MD AT HOME LLC |
| 7212 Balson Ave, Saint Louis, MO 63130-3001 | 3147265600 | AGING WELL HEALTH CARE, LLC |
| Organization Legal Name | AGING WELL HEALTH CARE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan C Escandon | Neurology | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Vladimir L Gelfand | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Nelson Usry | Family Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Street Address |
7212 BALSON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63130-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juan C Escandon | Neurology | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Vladimir L Gelfand | Internal Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Nelson Usry | Family Medicine | Aging Well Health Care, LLC | 7212 Balson Ave, Saint Louis, MO 63130-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Huey Hawkins Jr. | Clinical Social Worker | 8434 Page Ave, Saint Louis, MO 63130-1046 | |
| Secil A Schodroski | Nurse Practitioner | 7584 Olive Blvd, Suite 204, University City, MO 63130-1600 | |
| Meghan R Taff | Physical Therapy | Physican's Choice Wellness Physical Therapy, LLC | 7700 Olive Blvd, University City, MO 63130-2030 |
| Stephen J Costantino | Chiropractic | 909 Purdue Ave, University City, MO 63130-3012 | |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Farrukh M Koraishy | Nephrology | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kimberly H Harsy | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Michelle L Deguire | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Scott M Dembiec | Internal Medicine | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Jennifer R Herndon | Physician Assistant | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Find all physicians in zip 63130 | |||
| City | SAINT LOUIS |
| Zip Code | 63130 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT LOUIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew Gibfried.
| 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.