Matthew Shelby (NPI# 1023312782, PAC ID# 3274716675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1023312782 |
| PAC ID by PECOS | 3274716675 |
| Professional Enrollment ID | I20120109000877 |
| Full Name | Matthew Shelby |
| Organization Legal Name | MISSISSIPPI COUNTY HOSPITAL SYSTEM |
| Address |
1520 N Division St Great River Medical Center Anesthesia Department Blytheville AR 72315-1448 |
| Phone Number | 8708387300 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9739230723 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040069 | GREAT RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1520 N Division St, Great River Medical Center Anesthesia Department, Blytheville, AR 72315-1448 | 8708387300 | MISSISSIPPI COUNTY HOSPITAL SYSTEM |
| 611 W Lee Ave, Smc Regional Medical Center Anesthesia Department, Osceola, AR 72371-3001 | 8708387445 | MISSISSIPPI COUNTY HOSPITAL SYSTEM |
| Organization Legal Name | MISSISSIPPI COUNTY HOSPITAL SYSTEM |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lee Jacoby | Nurse Practitioner | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Sejal P Thakor | Family Medicine | Mississippi County Hospital System | 602 W Union Ave B, Mississippi County Primary Care Physicians, Osceola, AR 72370-3014 |
| Ahmed Hussain | Urology | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Anthony Daniels | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Peggy S Darty | Nurse Practitioner | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Eric C Green | Nurse Practitioner | Mississippi County Hospital System | 1520 N Division St, Gerald Stiparu Md Hospitalist, Blytheville, AR 72315-1448 |
| Stephen Scott Pirtle | Family Medicine | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Kimberly D Hughes | Certified Registered Nurse Anesthetist (crna) | Mississippi County Hospital System | 1520 N Division St, Great River Medical Center Anesthesia Department, Blytheville, AR 72315-1448 |
| Stanley Gordon | Certified Registered Nurse Anesthetist (crna) | Mississippi County Hospital System | 1520 N Division St, Great River Medical Center Anesthesia Department, Blytheville, AR 72315-1448 |
| Pratapji T Thakor | Family Medicine | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Street Address |
1520 N DIVISION ST GREAT RIVER MEDICAL CENTER ANESTHESIA DEPARTMENT |
| City | BLYTHEVILLE |
| State | AR |
| Zip | 72315-1448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas E Carlson | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| Eric C Green | Nurse Practitioner | Mississippi County Hospital System | 1520 N Division St, Gerald Stiparu Md Hospitalist, Blytheville, AR 72315-1448 |
| Kimberly D Hughes | Certified Registered Nurse Anesthetist (crna) | Mississippi County Hospital System | 1520 N Division St, Great River Medical Center Anesthesia Department, Blytheville, AR 72315-1448 |
| Michael H Sifford | Gastroenterology | St. Bernards Clinics Inc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| Stanley Gordon | Certified Registered Nurse Anesthetist (crna) | Mississippi County Hospital System | 1520 N Division St, Great River Medical Center Anesthesia Department, Blytheville, AR 72315-1448 |
| Rudy H Sells | Certified Registered Nurse Anesthetist (crna) | Mississippi County Hospital System | 1520 N Division St, Great River Medical Center Anesthesia Department, Blytheville, AR 72315-1448 |
| Raymond S Fergus | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| John E Wilson | Emergency Medicine | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 | |
| Boomi T Nathan | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Blytheville, AR 72315-1448 |
| Michael Eugene Johnson | Emergency Medicine | East Arkansas Emergency Physicians Pllc | 1520 N Division St, Great River Medical Center, Blytheville, AR 72315-1448 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lee Jacoby | Nurse Practitioner | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Karen C Hester | Pediatric Medicine | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Anthony Daniels | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Richard L Hester | Internal Medicine | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Ronnie Wayne Dennis | Obstetrics/gynecology | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| Chimere A Ashley | Family Medicine | Mississippi County Hospital System | 1521 N 10th St A, Great River Women's Clinic, Blytheville, AR 72315-1424 |
| James D. Russell | General Practice | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Connie Kay Ash | Nurse Practitioner | Family Medicine Associates of Blytheville Pa | 1521 N 10th St, Suite C, Blytheville, AR 72315-1424 |
| Jonathan D White | Family Medicine | Diffine Family Practice Pllc | 1100 Medical Plaza Dr, Suite C, Blytheville, AR 72315-1425 |
| Ahmed Hussain | Urology | Mississippi County Hospital System | 1100 Medical Dr, Blytheville, AR 72315-1425 |
| Find all physicians in zip 72315 | |||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BLYTHEVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.