Matthew Fennema (NPI# 1700315868, PAC ID# 1850636648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1700315868 |
| PAC ID by PECOS | 1850636648 |
| Professional Enrollment ID | I20191003002399 |
| Full Name | Matthew Fennema |
| Organization Legal Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| Address |
200 Hospital Dr Meyersdale PA 15552-1249 |
| Phone Number | 8146345911 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7315166949 |
| Number of Group Practice Members | 263 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390130 | CONEMAUGH MINERS MEDICAL CENTER |
| 391302 | MEYERSDALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 290 Haida Ave, Hastings, PA 16646-5610 | 8142473100 | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| 200 Hospital Dr, Meyersdale, PA 15552-1249 | 8146345911 | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| Organization Legal Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean David Riek | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 3670 Portage St, Suite 105, Portage, PA 15946-6546 |
| William P Pham | Family Medicine | Dlp Conemaugh Physician Practices LLC | 1940 William Penn Ave, Suite 1, Johnstown, PA 15909-1609 |
| David Alexander Stroh | Orthopedic Surgery | Dlp Conemaugh Physician Practices LLC | 415 Napoleon Pl, Johnstown, PA 15901-2504 |
| Natalie Kukucka | Certified Nurse Midwife (cnm) | Dlp Conemaugh Physician Practices LLC | 600 Aberdeen Dr, Suite A, Somerset, PA 15501-1737 |
| Tanya Sargent | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Amanda Leigh Jodon | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 207 Woodstown Hwy, Conemaugh Hlth Init, Hollsopple, PA 15935-7119 |
| Corrin Fesko | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 315 Locust St, Suite 2, Johnstown, PA 15901-1651 |
| Stephen G Lalka | Vascular Surgery | Dlp Conemaugh Physician Practices LLC | 1086 Franklin St M, Johnstown, PA 15905-4305 |
| Maria Curlej | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 1086 Franklin St E, Johnstown, PA 15905-4305 |
| Lisa Marie Janosik | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 1060 Lloyd St, Nanty Glo, PA 15943-1232 |
| Street Address |
200 HOSPITAL DR |
| City | MEYERSDALE |
| State | PA |
| Zip | 15552-1249 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darien A Mellerson | Physical Therapy | Centers for Advanced Orthopaedics LLC | 200 Hospital Dr, Glen Burnie, MD 21061-5884 |
| David Loyd Adkins | Physician Assistant | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Linda Radford-goad | Nurse Practitioner | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Anuradha Bhasin | Diagnostic Radiology | Advanced Radiology Pa | 200 Hospital Dr, Suite 112, Glen Burnie, MD 21061-5861 |
| Nazir A Adam | Emergency Medicine | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Warren J Mccarter | Emergency Medicine | Emergency Physicians of Southern Virginia LLP | 200 Hospital Dr, Galax, VA 24333-2227 |
| Brandon August Cestaric | Family Medicine | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Sujit Vakkalanka | Hospitalist | Peachtree Inpatient Consulting LLC | 200 Hospital Dr, Galax, VA 24333-2227 |
| Landon W Garland Jr. | Diagnostic Radiology | Galax Radiology, Inc. | 200 Hospital Dr, Galax, VA 24333-2227 |
| Katherine Rose V Tigas | Family Medicine | Hospital Development Co. | 200 Hospital Dr, Spencer, WV 25276-1050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger C Hanson Jr. | Chiropractic | 308 Main St, Meyersdale, PA 15552-1036 | |
| Alicia Wells | Emergency Medicine | Dlp Conemaugh Physician Practices LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| William A Bergin | Physical Medicine and Rehabilitation | Robert L. Rundorff, M.d., P.C. | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Michael Kwesi Amponsah | Cardiovascular Disease (cardiology) | Dlp Conemaugh Meyersdale Medical Center, LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Cory P Gray | Emergency Medicine | Dlp Conemaugh Physician Practices LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Kathryn Jo Duray | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Kevin Lee Messner | Emergency Medicine | Dlp Conemaugh Physician Practices LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Edwin Darryl Hill | Podiatry | 200 Hospital Dr, Meyersdale, PA 15552-1249 | |
| Taylor Campbell | Emergency Medicine | Dlp Conemaugh Physician Practices LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Alexander E Kalenak | Family Medicine | Dlp Conemaugh Meyersdale Medical Center, LLC | 200 Hospital Dr, Meyersdale, PA 15552-1249 |
| Find all physicians in zip 15552 | |||
| City | MEYERSDALE |
| Zip Code | 15552 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MEYERSDALE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew Fennema.
| 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.