Matthew Wideroff (NPI# 1134448129, PAC ID# 8820238934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1134448129 |
| PAC ID by PECOS | 8820238934 |
| Professional Enrollment ID | I20160801002731 |
| Full Name | Matthew Wideroff |
| Organization Legal Name | RAPID CITY REGIONAL HOSPITAL INC |
| Address |
2805 5th St Suite 100 Rapid City SD 57701-7306 |
| Phone Number | 6057195700 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6002729506 |
| Number of Group Practice Members | 355 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430077 | REGIONAL HEALTH RAPID CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2805 5th St, Suite 100, Rapid City, SD 57701-7306 | 6057195700 | RAPID CITY REGIONAL HOSPITAL INC |
| Organization Legal Name | RAPID CITY REGIONAL HOSPITAL INC |
| Physicians | 308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Lee | Nurse Practitioner | Rapid City Regional Hospital Inc | 4150 5th St, Rapid City, SD 57701-6022 |
| Mindy Doom | Nurse Practitioner | Rapid City Regional Hospital Inc | 2116 Jackson Blvd, Rapid City, SD 57702-3495 |
| Natasha L Gray | Nurse Practitioner | Rapid City Regional Hospital Inc | 1635 Caregiver Cir, Rapid City, SD 57702-8529 |
| Joshua S Sole | Physical Medicine and Rehabilitation | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Kirsten A Butz | Psychiatry | Rapid City Regional Hospital Inc | 915 Mountain View Rd, Rapid City, SD 57702-3414 |
| Kimberly M Kennedy | Family Medicine | Rapid City Regional Hospital Inc | 502 E Monroe St, Rapid City, SD 57701-1400 |
| Tandis Hoffman | Physician Assistant | Rapid City Regional Hospital Inc | 717 Meade St, Suite 100, Rapid City, SD 57701-5100 |
| Dawn Jo Zastoupil | Certified Registered Nurse Anesthetist (crna) | Rapid City Regional Hospital Inc | 353 Fairmont Blvd, Rapid City, SD 57701-7375 |
| James B Ferrell | Physician Assistant | Rapid City Regional Hospital Inc | 1303 N Lacrosse St, Rapid City, SD 57701-6956 |
| Christian Gaissmaier | Cardiovascular Disease (cardiology) | Rapid City Regional Hospital Inc | 713 Oak St, Sundance, WY 82729 |
| Street Address |
2805 5TH ST SUITE 100 |
| City | RAPID CITY |
| State | SD |
| Zip | 57701-7306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua S Sole | Physical Medicine and Rehabilitation | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Bradley W Anderson | Urology | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Rodney M Samuelson | Neurosurgery | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Steven A Maser | Hand Surgery | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Russell P Hayden | Urology | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Dennis Joseph Thum | Urology | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Jennifer L Morlang | Nurse Practitioner | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Kelsey S Johnson | Nurse Practitioner | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Rachal Brown | Qualified Audiologist | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Mark S Monasky | Neurosurgery | Rapid City Regional Hospital Inc | 2805 5th St, Suite 100, Rapid City, SD 57701-7306 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberta A Kramlich | Psychologist, Clinical | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Ericka L Privitt | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Julie A Krein | Nurse Practitioner | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Vassilia D Young | Dermatology | Black Hills Dermatology PC | 7236 Jordan Dr, Suite 101, Rapid City, SD 57701 |
| Richard P Renka | Psychiatry | R. P. Renka, M.d.,p.c. | 528 Qunicy St, Rapid City, SD 57701 |
| Danielle L Shafer | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Christine M Zambon | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Kenneth B Peterson | Family Medicine | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Cheryl L Reagan | Nurse Practitioner | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| David K Custis | Physician Assistant | Black Hills Surgical Hospital, LLP | 1730 Haines Ave, Rapid City, SD 57701-0615 |
| Find all physicians in zip 57701 | |||
| City | RAPID CITY |
| Zip Code | 57701 |
| Specialty | GENERAL SURGERY |
| City + Specialty | RAPID CITY + GENERAL SURGERY |
Please comment or provide details below to improve the information on Matthew Wideroff.
| 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.