Matthew P Datzman (NPI# 1043254386, PAC ID# 0244209401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1043254386 |
| PAC ID by PECOS | 0244209401 |
| Professional Enrollment ID | I20100429000519 |
| Full Name | Matthew P Datzman |
| Organization Legal Name | CONSTITUTION ELM EMERGENCY PHYSICIANS LLC |
| Address |
1141 Hospital Dr Nw Corydon IN 47112-2164 |
| Phone Number | 8127384251 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 0648327544 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150061 | DAVIESS COMMUNITY HOSPITAL |
| 141327 | WABASH GENERAL HOSPITAL 1 |
| 141346 | FAYETTE COUNTY HOSPITAL |
| 151331 | HARRISON COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1141 Hospital Dr Nw, Corydon, IN 47112-2164 | 8127384251 | CONSTITUTION ELM EMERGENCY PHYSICIANS LLC |
| 1314 E Walnut St, Washington, IN 47501-2860 | 8122542760 | ROUNDHOUSE EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | CONSTITUTION ELM EMERGENCY PHYSICIANS LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher M Smith | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| John M Reisert | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Paul L Fleming | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Folake O Oluokun | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Paul N Passafiume | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Street Address |
1141 HOSPITAL DR NW |
| City | CORYDON |
| State | IN |
| Zip | 47112-2164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph R Sauer | Obstetrics/gynecology | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Brian K Albertson | Family Medicine | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Devi K Pierce | Internal Medicine | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Christopher M Smith | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Jessica J Meredith | Nurse Practitioner | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Joan Lynn Melton | Nurse Practitioner | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Edwin R Stutzman | Certified Registered Nurse Anesthetist (crna) | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Jennifer L Murphy | Nurse Practitioner | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| John M Reisert | Emergency Medicine | Constitution Elm Emergency Physicians LLC | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Anna B Stone | Certified Registered Nurse Anesthetist (crna) | Harrison County Hospital | 1141 Hospital Dr Nw, Corydon, IN 47112-2164 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindasue Farrell | Clinical Social Worker | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Joseph E Higgins Jr. | Clinical Social Worker | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Teodoro E.f. Bordador Jr. | Psychiatry | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Constance L Frauli | Clinical Social Worker | Lifespring, Inc | 535 Country Club Serd, Corydon, IN 47112-1705 |
| Lisa Diane Green | Nurse Practitioner | Family Health Center of Clark County Inc | 290 N Harrison Dr, Family Health Centers of Southern Indiana, Corydon, IN 47112-1725 |
| Chandler H Park | Hematology/oncology | Norton Hospitals Inc | 245 Atwood St, Corydon, IN 47112-1738 |
| Patricia J Corzine | Nurse Practitioner | Norton Hospitals Inc | 245 Atwood St, Corydon, IN 47112-1738 |
| Kaci Hentrup | Nurse Practitioner | Norton Hospitals Inc | 245 Atwood St, Corydon, IN 47112-1738 |
| Katherine J Dust | Nurse Practitioner | Community Medical Associates Inc | 1716 Hwy 337 Nw, Corydon, IN 47112-2028 |
| Christopher M Stock | Chiropractic | 2127 Edsel Ln Nw, Corydon, IN 47112-2030 | |
| Find all physicians in zip 47112 | |||
| City | CORYDON |
| Zip Code | 47112 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CORYDON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew P Datzman.
| 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.