Matthew R Endara (NPI# 1033370937, PAC ID# 2668696733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1033370937 |
| PAC ID by PECOS | 2668696733 |
| Professional Enrollment ID | I20180815001815 |
| Full Name | Matthew R Endara |
| Organization Legal Name | MAURY REGIONAL MEDICAL GROUP INC |
| Address |
103 Jv Mangubat Dr Fl 3 Waynesboro TN 38485-2440 |
| Phone Number | 9317222016 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 7911810742 |
| Number of Group Practice Members | 142 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440073 | MAURY REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 103 Jv Mangubat Dr, Fl 3, Waynesboro, TN 38485-2440 | 9317222016 | MAURY REGIONAL MEDICAL GROUP INC |
| Organization Legal Name | MAURY REGIONAL MEDICAL GROUP INC |
| Physicians | 117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Bilbao | Family Medicine | Maury Regional Medical Group Inc | 200 S Cross Bridges Rd, Mt Pleasant, TN 38474-1714 |
| Billy Dean Bailey | Rheumatology | Maury Regional Medical Group Inc | 1114 W 7th St, Columbia, TN 38401-3257 |
| Manisha Raj | Internal Medicine | Maury Regional Medical Group Inc | 1224 Trotwood Ave, Columbia, TN 38401-4802 |
| Patrick T Davis | General Surgery | Maury Regional Medical Group Inc | 1222 Trotwood Ave, Suite 603, Columbia, TN 38401-6410 |
| John S Jensen | Pulmonary Disease | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Mark H Messenger | Hematology/oncology | Maury Regional Medical Group Inc | 808 S James Campbell Blvd, Columbia, TN 38401 |
| Kenneth D Fulks | Plastic and Reconstructive Surgery | Maury Regional Medical Group Inc | 1601 Hatcher Ln, Columbia, TN 38401-4826 |
| Robert M Connors | Physician Assistant | Maury Regional Medical Group Inc | 854 W James Campbell Blvd, Columbia, TN 38401-4672 |
| Jennifer J Feldhaus | Internal Medicine | Maury Regional Medical Group Inc | 1224 Trotwood Ave, Columbia, TN 38401-4802 |
| Anthony D Haase | Internal Medicine | Maury Regional Medical Group Inc | 1224 Trotwood Ave, Columbia, TN 38401-4802 |
| Street Address |
103 JV MANGUBAT DR FL 3 |
| City | WAYNESBORO |
| State | TN |
| Zip | 38485-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Howard | Family Medicine | Southeastern Emergency Physicians LLC | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Alisha M Williams | Nurse Practitioner | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Hubert Langley | Diagnostic Radiology | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 | |
| Kaitlin R Tucker | Physician Assistant | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Fl 3, Waynesboro, TN 38485-2440 |
| Holly K Meeker | Nurse Practitioner | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Sarah E Fitzgerald | Nurse Practitioner | Maury Regional Medical Group Inc | 103 Jv Mangubat Dr, Fl 3, Waynesboro, TN 38485-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mona Olive | Nurse Practitioner | Ecm Health Group LLC | 206 Clifton Turnpike, Waynesboro, TN 38485-2301 |
| Donald H Polk | Family Medicine | 206 Clifton Tpke, Waynesboro, TN 38485-2301 | |
| Hillary J Ray | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Paula A Cole | Nurse Practitioner | Maury Regional Hospital | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Patricia Diane Castleman | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Joe I Hall | Emergency Medicine | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Valerie A Hall | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Kaitlyn Ann Kelly | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Harish Veeramachineni | Family Medicine | Maury Regional Hospital | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Donna J Casteel | Nurse Practitioner | Joe I Hall Md PC | 107 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Find all physicians in zip 38485 | |||
| City | WAYNESBORO |
| Zip Code | 38485 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | WAYNESBORO + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.