Matthew Sean Edmonds (NPI# 1629242854, PAC ID# 7719137710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629242854 |
| PAC ID by PECOS | 7719137710 |
| Professional Enrollment ID | I20141201002380 |
| Full Name | Matthew Sean Edmonds |
| Address |
670 County Rd Canby CA 96015-9722 |
| Gender | M |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380050 | SKY LAKES MEDICAL CENTER |
| 051330 | MODOC MEDICAL CENTER |
| 381309 | LAKE DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 670 County Rd, Canby, CA 96015-9722 | ||
| 670 County Rd, Suite 83, Canby, CA 96015-9722 | ||
| 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 | 5412746221 | SKY LAKES MEDICAL CENTER INC |
| Street Address |
670 COUNTY RD |
| City | CANBY |
| State | CA |
| Zip | 96015-9722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Jeanne Marchessault | Nurse Practitioner | I'sot Inc | 670 County Rd, Canby, CA 96015-9722 |
| City | CANBY |
| Zip Code | 96015 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CANBY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew Sean Edmonds.
| 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.