MATTHEW C MARUSKA (NPI# 1164717963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164717963 |
| Entity Type | Individual |
| Full Name | MATTHEW C MARUSKA |
| Credential | DO |
| Practice Address |
561 N Graham St Stephenville TX 76401-3548 |
| Mailing Address |
561 N Graham St Stephenville TX 76401 |
| Practice Telephone | 2549652663 |
| Practice Fax Number | 2549687979 |
| Mailing Telephone | 2549652663 |
| Mailing Fax Number | 2549687979 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
P0850 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 337513102 | 05 |
| Street Address |
561 N GRAHAM ST |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-3548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278466 | Larry Mark Bragg | Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2005-07-14 |
| 1114573144 | Mark G Mishak II | Physician Assistant | 561 N Graham St, Stephenville, TX 76401-3548 | 2019-08-15 |
| 1376092841 | Sarah Maass | Physician Assistant | 561 N Graham St, Stephenville, TX 76401-3548 | 2016-09-26 |
| 1649624750 | Alana Lund Waterford | Family Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2016-04-15 |
| 1285011502 | Jillian Kaye Mcangus | Orthopaedic Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2015-05-06 |
| 1740618206 | Eccare Professional Association of Texas P.a. | Clinic/Center | 561 N Graham St, Stephenville, TX 76401-3548 | 2013-10-21 |
| 1821353400 | Akas Siddiqui | Internal Medicine | 561 N Graham St, Stephenville, TX 76401-3548 | 2012-07-10 |
| 1972785640 | Larry Bragg Md Pa | Surgery | 561 N Graham St, Stephenville, TX 76401-3548 | 2007-12-04 |
| 1699870808 | Cross Timbers Orthopaedics | Specialist | 561 N Graham St, Stephenville, TX 76401-3548 | 2006-09-13 |
| 1811927403 | Randall Dwight Foster | Physician Assistant | 561 N Graham St, Stephenville, TX 76401-3548 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799238 | Jerry George Greeson | Emergency Medicine | 2239 Walker Ave Bldg 5570, Jbsa Lackland, TX 78236-5632 | 2020-10-27 |
| 1235755315 | Morgan Tharp | Emergency Medicine | 4401 Park Springs Blvd, Arlington, TX 76017-2016 | 2020-06-24 |
| 1639146079 | Chad Bergman | Emergency Medicine | 1 Spurs Ln, San Antonio, TX 78240-1634 | 2006-03-03 |
| 1457324782 | James S Distefano | Emergency Medicine | 3201 University Dr E Ste 320, Bryan, TX 77802-3478 | 2006-02-08 |
| 1124626825 | Chay Shalise Nersesian | Emergency Medicine | 301 Rivercrest Blvd, Allen, TX 75002-2100 | 2020-10-14 |
| 1609493543 | Brazos Valley Physicians Alliance | Emergency Medicine | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2020-06-26 |
| 1932697752 | Tyler Glynn Nugent | Emergency Medicine | 16811 Southwest Fwy Ste 200, Sugar Land, TX 77479-4728 | 2018-04-26 |
| 1407368111 | Stephan Ryan Fisher | Emergency Medicine | 601 University Dr, San Marcos, TX 78666-4684 | 2017-11-03 |
| 1205346236 | Pablo Daniel Riera | Emergency Medicine | 4103 W Slaughter Ln, Austin, TX 78749-6953 | 2017-10-04 |
| 1427594597 | Mobility Sports Therapy | Emergency Medicine | 25420 Kuykendahl Rd, Suite D500, The Woodlands, TX 77375-3405 | 2017-01-13 |
| Find all providers with the same taxonomy | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
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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.