Heather Bennett Matheson (NPI# 1275858839, PAC ID# 5395032015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1275858839 |
| PAC ID by PECOS | 5395032015 |
| Professional Enrollment ID | I20190118002882 |
| Full Name | Heather Bennett Matheson |
| Organization Legal Name | TRI-STATE COLORECTAL GROUP LLC |
| Address |
950 S Kenmore Dr Suite B Evansville IN 47714-7513 |
| Phone Number | 8124015169 |
| Gender | F |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 9638443765 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150100 | ST. MARY'S HEALTH, INC. |
| 150082 | DEACONESS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 | 8124015169 | TRI-STATE COLORECTAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TRI-STATE COLORECTAL GROUP LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Christopher Adongay | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| Santiago Arruffat | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| Syam Chilukuri | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| James Waller Jr. | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| Street Address |
950 S KENMORE DR SUITE B |
| City | EVANSVILLE |
| State | IN |
| Zip | 47714-7513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen E Braun | Family Medicine | St Marys Medical Group LLC | 950 S Kenmore Dr, Evansville, IN 47714-7513 |
| Joseph Christopher Adongay | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| Santiago Arruffat | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| Syam Chilukuri | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| James Waller Jr. | Colorectal Surgery (proctology) | Tri-state Colorectal Group LLC | 950 S Kenmore Dr, Suite B, Evansville, IN 47714-7513 |
| Steven K Elliott | Family Practice | St Marys Medical Group LLC | 950 S Kenmore Dr, Evansville, IN 47714-7513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Kenneth Hupfer | Podiatry | 3700 Bellemeade Ave, Suite 117, Evansville, IN 47714-0106 | |
| Sarah M Voelkel | Podiatry | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Lauren Janae Herron | Nurse Practitioner | St Marys Medical Group LLC | 3801 Bellemeade Ave, Evansville, IN 47714-0111 |
| Maureen Pons Kuhrt | General Surgery | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Michelle Ann Brandon | Nurse Practitioner | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 110, Evansville, IN 47714-0111 |
| Waseem Ahmad | Infectious Disease | St Marys Medical Group LLC | 3801 Bellemeade Ave, Evansville, IN 47714-0111 |
| Lynne Michelle Melchior | Nurse Practitioner | St Marys Medical Group LLC | 3801 Bellemeade Ave, 110a, Evansville, IN 47714-0111 |
| Sara A Jurado | Dermatology | St Marys Medical Group LLC | 3801 Bellemeade Ave, Evansville, IN 47714-0111 |
| Karl William Staser | Dermatology | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 120, Evansville, IN 47714-0111 |
| Bruce Max Rothschild | Rheumatology | St Marys Medical Group LLC | 3801 Bellemeade Ave, Suite 300, Evansville, IN 47714-0113 |
| Find all physicians in zip 47714 | |||
| City | EVANSVILLE |
| Zip Code | 47714 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | EVANSVILLE + COLORECTAL SURGERY (PROCTOLOGY) |
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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.