DR. MATTHEW DAVID EAGLESON (NPI# 1295020048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295020048 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAVID EAGLESON |
| Credential | D.O. |
| Practice Address |
4450 Fashion Square Blvd Saginaw MI 48603-1251 |
| Practice Telephone | 9897924090 |
| Practice Fax Number | 9897924094 |
| Mailing Telephone | 9897924090 |
| Mailing Fax Number | 9897924094 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
5101019123 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4450 FASHION SQUARE BLVD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026018 | Carolyn Dianne Leadholm-wittke | Nurse Practitioner | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2005-07-13 |
| 1649755794 | Nicole A Darling | Nurse Practitioner | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2018-09-25 |
| 1598138091 | Shelly Kimberly Garlitz | Nurse Practitioner | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2015-11-05 |
| 1013331180 | Comprehensive Pain Specialists, Pllc | Pain Medicine | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2014-02-10 |
| 1386922268 | Matrix Anesthesia Plc | Anesthesiology | 4450 Fashion Square Blvd, Suite 100, Saginaw, MI 48603-1251 | 2011-07-27 |
| 1740571736 | Helder H. Chin | Anesthesiology | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2011-04-25 |
| 1306085733 | Valeriah Ann Holmon | Nurse Practitioner | 4450 Fashion Square Blvd, Suite 100, Saginaw, MI 48603-1251 | 2009-02-09 |
| 1376706085 | Matrix Pain Management | Nurse Practitioner | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2008-07-03 |
| 1407050842 | Ryan Bearer | Anesthesiology | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2007-06-11 |
| 1669419925 | Matrix Pain Management PC | Pain Medicine | 4450 Fashion Square Blvd, Saginaw, MI 48603-1251 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679763569 | Pain Consultants of Michigan, Plc | Anesthesiology | 1119 South Washington, Saginaw, MI 48601 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568811 | Flint Pain Specialists Pllc | Anesthesiology | 1345 Willowdale Ct Ste B, Flint, MI 48532-4737 | 2018-05-14 |
| 1548624984 | Ayman Tarabishy Md Pllc | Anesthesiology | 400 Plymouth Rd, F2, Plymouth, MI 48170-1482 | 2016-04-12 |
| 1457733008 | John Sung Ha | Anesthesiology | 325 E Eisenhower Pkwy Ste 310, Ann Arbor, MI 48108-3307 | 2015-06-19 |
| 1841603362 | Clinton Pain and Anesthesia Plc | Anesthesiology | 16100 19 Mile Road, Clinton Township, MI 48038 | 2014-06-03 |
| 1255743738 | Advanced Pain Specialists | Anesthesiology | 18100 Oakwood Blvd Ste 203, Dearborn, MI 48124-4085 | 2014-06-02 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1265876403 | Medical Business Consultants, Ltd. | Anesthesiology | 63474 Zabel Shores Rd, Sturgis, MI 49091-9371 | 2013-04-18 |
| 1407198807 | Kevin M. Nemeth | Anesthesiology | 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113 | 2013-03-23 |
| 1891054573 | Eduardo Icaza | Anesthesiology | 36622 Five Mile Rd Ste 101, Livonia, MI 48154-1900 | 2012-05-15 |
| 1972884724 | Martin Ilan Noveck | Anesthesiology | 9255 Allen Rd, Clarkston, MI 48348-2726 | 2011-09-07 |
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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.