Matthew B Kaufman (NPI# 1871600353, PAC ID# 6709078850) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1871600353 |
| PAC ID by PECOS | 6709078850 |
| Professional Enrollment ID | I20101007000241 |
| Full Name | Matthew B Kaufman |
| Organization Legal Name | NORTH GEORGIA EYE CLINIC INC |
| Address |
3275 Market Place Blvd Suite 100 Cumming GA 30041-7977 |
| Phone Number | 7702921999 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8022099175 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110029 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 | 7702921999 | NORTH GEORGIA EYE CLINIC INC |
| Organization Legal Name | NORTH GEORGIA EYE CLINIC INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheetal M Shah | Ophthalmology | North Georgia Eye Clinic Inc | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 |
| Mark M Novotny | Optometry | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Matthew Webster Hollar | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Larry J Payne | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Kevin Gertsch | Ophthalmology | North Georgia Eye Clinic Inc | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 |
| Bhairavi Dholakia | Ophthalmology | North Georgia Eye Clinic Inc | 2089 Teron Trace, Suite 160, Dacula, GA 30019 |
| Theresa M Panter | Nurse Practitioner | North Georgia Eye Clinic Inc | 1230 Bald Ridge Marina Rd, Cumming, GA 30041-7536 |
| Brent R Hayek | Ophthalmology | North Georgia Eye Clinic Inc | 1485 Jesse Jewell Pkwy Ne, Suite 100, Gainesville, GA 30501-3086 |
| Elise Marie Bugenske | Optometry | North Georgia Eye Clinic Inc | 1485 Jesse Jewell Pkwy Ne, Suite 100, Gainesville, GA 30501-3086 |
| Street Address |
3275 MARKET PLACE BLVD SUITE 100 |
| City | CUMMING |
| State | GA |
| Zip | 30041-7977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark M Novotny | Optometry | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Matthew Webster Hollar | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Larry J Payne | Ophthalmology | North Georgia Eye Clinic Inc | 3275 Market Place Blvd, Suite 100, Cumming, GA 30041-7977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Max M Benson | Interventional Cardiology | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| William G Littlefield | Hand Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Neil Tarabadkar | Orthopedic Surgery | Peachtree Orthopaedic Clinic Pa | 1505 Northside Boulevard, Suite 3100, Cummings, GA 30041 |
| Amit Tibrewala | Internal Medicine | Northside Cardiovascular Professional Services,llc | 1505 Northside Forsyth Dr, Suite 3600, Cumming, GA 30041 |
| Kurt B Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eric W Tompkins | Chiropractic | Tompkins Family Chiropractic Inc. | 1485 Peachtree Pkwy, Suite D7, Cumming, GA 30041-0500 |
| Eli M Goldsmith | Chiropractic | 5285 Lake Pointe Ctr Dr, Suite B, Cumming, GA 30041-0901 | |
| Dominik Alan Shannon | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Dwarakinath Harish | Nephrology | 1445 Haw Creek Cir, Suite 504, Cumming, GA 30041-2723 | |
| Coleen Rodney Brown | Physical Therapy | Benchmark Physical Therapy, Inc | 1370 Buford Hwy 108, Cumming, GA 30041-2723 |
| Find all physicians in zip 30041 | |||
| City | CUMMING |
| Zip Code | 30041 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CUMMING + OPHTHALMOLOGY |
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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.