Robert C Matylewicz (NPI# 1629057492, PAC ID# 8022148931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1629057492 |
PAC ID by PECOS | 8022148931 |
Professional Enrollment ID | I20101020001117 |
Full Name | Robert C Matylewicz |
Organization Legal Name | MAIN STREET FAMILY MEDICINE OF SPRING GROVE, INC. |
Address |
285 N Main St Spring Grove PA 17362-1134 |
Phone Number | 7172253610 |
Gender | M |
Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1996 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 5597703199 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390233 | HANOVER HOSPITAL |
390101 | MEMORIAL HOSPITAL |
390046 | YORK HOSPITAL |
Address | Phone | Organization |
---|---|---|
285 N Main St, Spring Grove, PA 17362-1134 | 7172253610 | MAIN STREET FAMILY MEDICINE OF SPRING GROVE, INC. |
Organization Legal Name | MAIN STREET FAMILY MEDICINE OF SPRING GROVE, INC. |
Physicians | 1 |
Street Address |
285 N MAIN ST |
City | SPRING GROVE |
State | PA |
Zip | 17362-1134 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christina Nicole Doll | Family Medicine | Wellspan Medical Group | 430 N Main St, Wellspan Family Medicine Spring Grove, Spring Grove, PA 17362-1123 |
Jessica Lynn Guinard | Nurse Practitioner | Wellspan Medical Group | 430 N Main St, Wellspan Family Medicine Spring Grove, Spring Grove, PA 17362-1123 |
Tracy Prince | Family Medicine | Pinnacle Health Medical Services | 2030 Thistle Hill Dr, Spring Grove, PA 17362-1159 |
Matthew L Burr | Optometry | 2030 Thistle Hill Dr, Spring Grove, PA 17362-1159 | |
Howard H Farrington Iii | Family Medicine | 2030 Thistle Hill Dr, Suite 200, Spring Grove, PA 17362-1161 | |
Christine Denise Holtz | Nurse Practitioner | Spring Grove Family Care Center LLC | 2030 Thistle Hill Dr, Suite 200, Spring Grove, PA 17362-1161 |
Nicholas Charles Fasano | Diagnostic Radiology | University of Maryland Diagnostic Imaging Specialists, Pa | 222 Deer Trail Rd, Spring Grove, PA 17362-8603 |
City | SPRING GROVE |
Zip Code | 17362 |
Specialty | FAMILY PRACTICE |
City + Specialty | SPRING GROVE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Robert C Matylewicz.
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.