Matthew J Moll (NPI# 1831209261, PAC ID# 5294731170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1831209261 |
| PAC ID by PECOS | 5294731170 |
| Professional Enrollment ID | I20061017000314 |
| Full Name | Matthew J Moll |
| Organization Legal Name | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address |
700 W Central Ave 202 Sba Medical Group Audiology El Dorado KS 67042-2112 |
| Phone Number | 3163218762 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7719898980 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170017 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| 170123 | WESLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W Central Ave, 202 Sba Medical Group Audiology, El Dorado, KS 67042-2112 | 3163218762 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| 720 W Central Ave, El Dorado, KS 67042-2112 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Organization Legal Name | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith H Stringer | Nurse Practitioner | Susan B Allen Memorial Hospital | 401 W 7th Ave, 101 Augusta Immediate Care Clinic, Augusta, KS 67010-1309 |
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Russell R Mccaig | Physician Assistant | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Crystal D Faudere | Family Medicine | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Phillip S Olsen | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Kevin A Heath | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Patricia M Petrakis | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Ashley M Greer | Nurse Practitioner | Susan B Allen Memorial Hospital | 720 W Central Ave, 111 Sba Medical Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Street Address |
700 W CENTRAL AVE 202 SBA MEDICAL GROUP AUDIOLOGY |
| City | EL DORADO |
| State | KS |
| Zip | 67042-2112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille A Russell Mckesey | Obstetrics/gynecology | 700 W Central Ave, Suite 412, El Dorado, KS 67042-2135 | |
| Aubrey S Ralston | Family Medicine | El Dorado Clinic, P.a. | 700 W Central Ave, Suite 205, El Dorado, KS 67042-2186 |
| Paula S Emmons | Nurse Practitioner | Flint Hills Orthopaedics Pa | 700 W Central Ave, Suite 206, El Dorado, KS 67042-2186 |
| Bridget Howard | Nurse Practitioner | Flint Hills Orthopaedics Pa | 700 W Central Ave, Suite 206, El Dorado, KS 67042-2186 |
| Diane D Nightengale | Family Medicine | El Dorado Clinic, P.a. | 700 W Central Ave, Suite 205, El Dorado, KS 67042-2186 |
| Chinwe A Okonkwo | Obstetrics/gynecology | 700 W Central Ave, Suite 412, El Dorado, KS 67042-2135 | |
| Lauren B Ferrell | Family Medicine | El Dorado Clinic, P.a. | 700 W Central Ave, Suite 205, El Dorado, KS 67042-2186 |
| Ronald M Varner | Family Medicine | 700 W Central Ave, Suite 207, El Dorado, KS 67042-2186 | |
| Paul O Mckesey | General Surgery | 700 W Central Ave, Suite 406, El Dorado, KS 67042-2116 | |
| Gerard M Librodo | Orthopedic Surgery | Flint Hills Orthopaedics Pa | 700 W Central Ave, Suite 206, El Dorado, KS 67042-2186 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry L Abraham | Podiatry | 321 N Main St, Eldorado, KS 67042-2021 | |
| Dawn M Gadberry | Clinical Social Worker | South Central Mental Health Counseling Center, Inc | 524 N Main St, El Dorado, KS 67042-2024 |
| Gregory P Joyce | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Rosemarie A Wilson | Chiropractic | 215 N Vine St, El Dorado, KS 67042-2055 | |
| Amanda L Hursh | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Henry R Kuhns Jr. | Internal Medicine | 720 W Central, El Dorado, KS 67042-2112 | |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Kyle M Tipton | Internal Medicine | 720 W Central Ave, Susan B Allen Memorial Hospital, El Dorado, KS 67042-2112 | |
| Find all physicians in zip 67042 | |||
| City | EL DORADO |
| Zip Code | 67042 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | EL DORADO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Matthew J Moll.
| 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.