Matthew E Boland (NPI# 1578533113, PAC ID# 6406944586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578533113 |
| PAC ID by PECOS | 6406944586 |
| Professional Enrollment ID | I20071127000257 |
| Full Name | Matthew E Boland |
| Organization Legal Name | MERCY CLINIC ADULT CRITICAL CARE, LLC |
| Address |
901 E 5th St Washington MO 63090-3127 |
| Phone Number | 3142516486 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE |
| Group Practice PAC ID | 3779512041 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 3142516486 | MERCY CLINIC ADULT CRITICAL CARE, LLC |
| 901 E 5th St, Washington, MO 63090-3127 | 3142516486 | MERCY CLINIC ADULT CRITICAL CARE, LLC |
| Organization Legal Name | MERCY CLINIC ADULT CRITICAL CARE, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karthik V Iyer | Internal Medicine | Mercy Clinic Adult Critical Care, LLC | 1400 Us Hwy 61, Suite 250, Festus, MO 63028-4141 |
| Vinaya R Sermadevi | Internal Medicine | Mercy Clinic Adult Critical Care, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Farid G Sadaka | Critical Care (intensivists) | Mercy Clinic Adult Critical Care, LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Paula A Haugen | Nurse Practitioner | Mercy Clinic Adult Critical Care, LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Muhammad Ali Javed | Pulmonary Disease | Mercy Clinic Adult Critical Care, LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Chakradhar Venkata Krishna Venkata | Critical Care (intensivists) | Mercy Clinic Adult Critical Care, LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Walter L Mickey | Internal Medicine | Mercy Clinic Adult Critical Care, LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Sara Garland Moore | Nurse Practitioner | Mercy Clinic Adult Critical Care, LLC | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Admir Brkic | Nurse Practitioner | Mercy Clinic Adult Critical Care, LLC | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 |
| Sameer Rana | Critical Care (intensivists) | Mercy Clinic Adult Critical Care, LLC | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 |
| Street Address |
901 E 5TH ST |
| City | WASHINGTON |
| State | MO |
| Zip | 63090-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon E Witty | Family Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Laura J Weitzel | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Eric V.a. Matlock | Family Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Vedica Sharma | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Ashima Agarwal | Pathology | St Louis Pathology Assoc Inc | 901 E 5th St, Mercy Hospital Washington, Washington, MO 63090-3127 |
| Christina M Linden | Anesthesiology | Western Anesthesiology Associates Inc | 901 E 5th St, Dept of Anesthesiology, Washington, MO 63090-3127 |
| Vinaya R Sermadevi | Internal Medicine | Mercy Clinic Adult Critical Care, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Jamie L Deubel | Certified Registered Nurse Anesthetist (crna) | Western Anesthesiology Associates Inc | 901 E 5th St, Dept of Anesthesiology, Washington, MO 63090-3127 |
| Julie Kunkel | Pathology | St Louis Pathology Assoc Inc | 901 E 5th St, Mercy Hospital Washington, Washington, MO 63090-3127 |
| Colleen M Wingate | Internal Medicine | Mercy Clinic Adult Hospitalists - Washington, LLC | 901 E 5th St, Washington, MO 63090-3127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristopher J Feldmann | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Lawrence M Gerstein | Chiropractic | Washington Chiropractic Clinic PC | 819 W 5th St, Washington, MO 63090-1923 |
| Edward Obermark | Optometry | 222 W Main St, Washington, MO 63090-2154 | |
| Timothy G Jones | Clinical Social Worker | 309 W 4th St, Suite 101, Washington, MO 63090-2335 | |
| Maria Bitzer | Nurse Practitioner | Psych Care Consultants LLC | 205 Elm St, Suite 202, Washington, MO 63090-2342 |
| Bradly Gould | Chiropractic | 707 Jefferson St, Washington, MO 63090-2709 | |
| Yael Y Diplacido-eastman | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Holly S Schmitt | Clinical Social Worker | 426 E 5th St, Washington, MO 63090-2811 | |
| Daryl L Meisburger | Clinical Psychologist | 529 E 5th St, Washington, MO 63090-2903 | |
| Michael Korenfeld | Ophthalmology | Comprehensive Eye Care, Ltd. | 901 E 3rd St, Washington, MO 63090-3010 |
| Find all physicians in zip 63090 | |||
| City | WASHINGTON |
| Zip Code | 63090 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WASHINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Matthew E Boland.
| 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.