Matthew L Tate (NPI# 1508089426, PAC ID# 2567515398) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1508089426 |
| PAC ID by PECOS | 2567515398 |
| Professional Enrollment ID | I20090727000679 |
| Full Name | Matthew L Tate |
| Organization Legal Name | JOHNSON FAMILY CENTER FOR CANCER CARE |
| Address |
1440 E Sherman Blvd Muskegon MI 49444-1816 |
| Phone Number | 2316722008 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3678551637 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230066 | MERCY HEALTH HACKLEY CAMPUS |
| 230038 | SPECTRUM HEALTH-BUTTERWORTH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1440 E Sherman Blvd, Muskegon, MI 49444-1816 | 2316722008 | JOHNSON FAMILY CENTER FOR CANCER CARE |
| Organization Legal Name | JOHNSON FAMILY CENTER FOR CANCER CARE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina Fukunaga Johnson | Radiation Oncology | Johnson Family Center for Cancer Care | 1440 E Sherman Blvd, Muskegon, MI 49444-1816 |
| Janice L Cooper | Nurse Practitioner | Johnson Family Center for Cancer Care | 1440 E Sherman Blvd, Muskegon, MI 49444-1816 |
| Street Address |
1440 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip | 49444-1816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina Fukunaga Johnson | Radiation Oncology | Johnson Family Center for Cancer Care | 1440 E Sherman Blvd, Muskegon, MI 49444-1816 |
| Charlotte R Tatangelo | Nurse Practitioner | Cancer and Hematology Centers of Western Mi, P.C. | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 |
| Kelly J Parling-lynch | Hematology/oncology | Cancer and Hematology Centers of Western Mi, P.C. | 1440 E Sherman Blvd, Suite 200, Muskegon, MI 49444-1816 |
| Janice L Cooper | Nurse Practitioner | Johnson Family Center for Cancer Care | 1440 E Sherman Blvd, Muskegon, MI 49444-1816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Vanheck | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Frank Remington Sprague | Internal Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Timothy E Kval | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Beth Ann Stille | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Racquel M Brockington | Family Medicine | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Mariela A Rich | Certified Nurse Midwife (cnm) | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Gaye L Paget | Physician Assistant | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Abigail M Rienstra | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Margaret Elizabeth R Wolter | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Traci L Jones | Nurse Practitioner | Mgh Family Health Center | 2201 S Getty St, Muskegon, MI 49444-1207 |
| Find all physicians in zip 49444 | |||
| City | MUSKEGON |
| Zip Code | 49444 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | MUSKEGON + RADIATION ONCOLOGY |
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| 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.