DR. MATTHEW G. KINZELMAN (NPI# 1104871979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104871979 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW G. KINZELMAN |
| Credential | MD |
| Practice Address |
3754 Highway 90 200 Pace FL 32571-1020 |
| Mailing Address |
Po Box 2699 Pensacola FL 32513-2699 |
| Practice Telephone | 8504165200 |
| Practice Fax Number | 8504165201 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME40346 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3754 HIGHWAY 90 200 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843410 | Lisa Currier | Pediatrics | 3754 Highway 90, Pace, FL 32571-1096 | 2005-10-04 |
| 1649534710 | Pace Surgery Center | Anesthesiology | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2012-07-03 |
| 1497018345 | Benjamin David Osterrieder | Obstetrics & Gynecology | 3754 Highway 90, Ste 220, Pace, FL 32571-1096 | 2012-06-15 |
| 1710127006 | Vishal Gujral | Internal Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2009-02-25 |
| 1982850251 | Darlene Marie Hess | Physical Therapy Assistant | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-18 |
| 1528224961 | Mary Frances Randell | Occupational Therapist | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-05 |
| 1225226889 | Jamie Mashburn Thorn | Nurse Practitioner | 3754 Highway 90, Ste 220, Pace, FL 32571-1096 | 2007-10-09 |
| 1578662227 | Pace Surgery Center | Clinic/Center | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2006-09-21 |
| 1386650406 | Robert Gerald Kincaid IIi | Family Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2006-07-31 |
| 1174537690 | Troy Bell | Optometrist | 3754 Highway 90, Suite 390, Pace, FL 32571-1096 | 2006-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215293600 | Andrew Dean Henson | Family Medicine | 3754 Highway 90 Ste 200, Pace, FL 32571-1098 | 2012-04-10 |
| 1336324672 | Chester Ashley Messick Jr. | Family Medicine | 4262 Woodbine Rd, Pace, FL 32571-8789 | 2008-01-06 |
| 1174652275 | Ann Ilene Payne-johnson | Family Medicine | 3754 Highway 90 Ste 300, Pace, FL 32571-1098 | 2007-03-05 |
| 1316018641 | Joshua Davis | Family Medicine | 3874 Highway 90, Pace, FL 32571-1014 | 2006-11-10 |
| 1336193143 | Bradley Brain Hawkins | Family Medicine | 4435 Highway 90, Pace, FL 32571-2066 | 2006-05-19 |
| 1841241429 | Christine Michelle Tenniswood | Family Medicine | 4225 Woodbine Road, Suite A, Pace, FL 32571 | 2006-05-16 |
| 1568435030 | Mark Edward Ates | Family Medicine | 4225 Woodbine Rd Ste A, Pace, FL 32571-8791 | 2006-02-07 |
| 1881674257 | First Physicians Group Pa | Family Medicine | 3802 Highway 90, Pace, FL 32571-1014 | 2006-01-20 |
| 1366422784 | Thomas Vernon Messe | Family Medicine | 4225 Woodbine Rd, Pace, FL 32571-8790 | 2006-01-20 |
| 1306822911 | Pea Ridge Family Care Center Inc | Family Medicine | 5553 Highway 90, Pace, FL 32571-1540 | 2005-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.