Matt Allen Douglas (NPI# 1750354643, PAC ID# 8325080344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750354643 |
| PAC ID by PECOS | 8325080344 |
| Professional Enrollment ID | I20050531000585 |
| Full Name | Matt Allen Douglas |
| Organization Legal Name | HUTCHINSON PHYSICIANS PA |
| Address |
1701 E 23rd Ave Hutchinson KS 67502-1105 |
| Phone Number | 6206652000 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4183941818 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170020 | HUTCHINSON REGIONAL MEDICAL CENTER INC |
| 170105 | MCPHERSON HOSPITAL |
| 170123 | WESLEY MEDICAL CENTER |
| 171327 | ELLSWORTH COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | 6206652000 | HUTCHINSON PHYSICIANS PA |
| 2101 N Waldron St, Hutchinson, KS 67502-1131 | 6206692500 | HUTCHINSON CLINIC PA INC |
| 2107 N Waldron St, Hutchinson, KS 67502-1131 | 6206692500 | HUTCHINSON CLINIC PA INC |
| Organization Legal Name | HUTCHINSON PHYSICIANS PA |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Bdo Slack | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Linessa Ann Rexford | Nurse Practitioner | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Janet L Grilliot | Nurse Practitioner | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| William Forrest Goodman | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Jaehyoung Choi | Hospitalist | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Stephenie M Seiler | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Belinda Edokpolo | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Alaeldin B Mohammed | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Amy Lou Quinn | Physician Assistant | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Joseph O Aiyenowo | Family Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Street Address |
1701 E 23RD AVE |
| City | HUTCHINSON |
| State | KS |
| Zip | 67502-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi L Schultz | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Moh'd Al-halawani | Pulmonary Disease | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, 2000 Hutchinson Regional Physician Network, Hutchinson, KS 67502-9908 |
| Lindsay R Kornelson | Nurse Practitioner | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Michelle L Nelson | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Jason Bdo Slack | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Rona K Gazaway | Diagnostic Radiology | Radiology Professionals of Hutchinson, LLC | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Katherine A Stolper | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Bryan Keith Henderson | Emergency Medicine | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Linessa Ann Rexford | Nurse Practitioner | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Tariq Musa | Pulmonary Disease | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, 2000 Hutchinson Regional Physician Network, Hutchinson, KS 67502-9908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy B Ciskey | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Misty K Falco | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Shannon Leigh Horsch | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Bobbi L Schrag | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Terence Mcdonald | Internal Medicine | 1701 E, 23rd, Hutchinson, KS 67502-1105 | |
| Luke A Wetta | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Robbie L Obrien-leighton | Physical Medicine and Rehabilitation | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 | |
| Yahya H Goronga | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Janet L Grilliot | Nurse Practitioner | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Jeremy Mark Tan | Psychiatry | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hospital, Hutchinson, KS 67502-1105 |
| Find all physicians in zip 67502 | |||
| City | HUTCHINSON |
| Zip Code | 67502 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HUTCHINSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Matt Allen Douglas.
| 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.