Matthew D Vincent (NPI# 1194007682, PAC ID# 5698949253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1194007682 |
| PAC ID by PECOS | 5698949253 |
| Professional Enrollment ID | I20160617000476 |
| Full Name | Matthew D Vincent |
| Organization Legal Name | MEDICAL SERVICES, INC |
| Address |
11040 N State Rd Suite 77 Hayward WI 54843-6391 |
| Phone Number | 7159344245 |
| Gender | M |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 9436061363 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521336 | HAYWARD AREA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 | 7159344245 | MEDICAL SERVICES, INC |
| Organization Legal Name | MEDICAL SERVICES, INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Sportel | Certified Registered Nurse Anesthetist (crna) | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Dorothy A Novak | Emergency Medicine | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Roger Vawter Branham | Orthopedic Surgery | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Julie R Boe | Certified Registered Nurse Anesthetist (crna) | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Haley Beth Stellmacher | Nurse Practitioner | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Susan B Bauer | Certified Registered Nurse Anesthetist (crna) | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Street Address |
11040 N STATE RD SUITE 77 |
| City | HAYWARD |
| State | WI |
| Zip | 54843-6391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Sportel | Certified Registered Nurse Anesthetist (crna) | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Dorothy A Novak | Emergency Medicine | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Roger Vawter Branham | Orthopedic Surgery | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Julie R Boe | Certified Registered Nurse Anesthetist (crna) | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Haley Beth Stellmacher | Nurse Practitioner | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Susan B Bauer | Certified Registered Nurse Anesthetist (crna) | Medical Services, Inc | 11040 N State Rd, Suite 77, Hayward, WI 54843-6391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David G Kelling | Chiropractic | 15657 Cty Hwy B, Hayward, WI 54843 | |
| Michael C Momont | Orthopedic Surgery | Orthopedic Associates of Duluth Pa | 11128 N State Hwy 27 and 77, North Lakes Community Clinic, Hayward, WI 54843 |
| Mark A Murray | Chiropractic | Po Box, Suite 1339, Hayward, WI 54843-1339 | |
| Anthony L Mannila | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Modesto M Ferrer | Family Medicine | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Jessica Hartmann | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Jerilou A Wiedmeyer | Family Practice | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Holly G Schuck | Clinical Social Worker | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Pamela Rutter | Nurse Practitioner | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Sandra Zeznanski | Registered Dietitian Or Nutrition Professional | Lac Courte Oreilles Governing Board | 13380 W Trepania Rd, Hayward, WI 54843-2186 |
| Find all physicians in zip 54843 | |||
| City | HAYWARD |
| Zip Code | 54843 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HAYWARD + 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.