Matthew D Gormley (NPI# 1235324385, PAC ID# 7113195348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1235324385 |
PAC ID by PECOS | 7113195348 |
Professional Enrollment ID | I20110714000182 |
Full Name | Matthew D Gormley |
Organization Legal Name | MCKENZIE MEMORIAL HOSPITAL |
Address |
8 N Howard Ave Croswell MI 48422-1221 |
Phone Number | 8106486162 |
Gender | M |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Group Practice PAC ID | 6406755289 |
Number of Group Practice Members | 26 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
231314 | MCKENZIE HEALTH SYSTEM |
230216 | MCLAREN PORT HURON |
Address | Phone | Organization |
---|---|---|
8 N Howard Ave, Croswell, MI 48422-1221 | 8106486162 | MCKENZIE MEMORIAL HOSPITAL |
Organization Legal Name | MCKENZIE MEMORIAL HOSPITAL |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie A Hebberd | Nurse Practitioner | Mckenzie Memorial Hospital | 251 E Peck Rd, Peck, MI 48466-9589 |
Kimberley A Curell | Physician Assistant | Mckenzie Memorial Hospital | 8 N Howard Ave, Croswell, MI 48422-1221 |
James R Kosiur | Orthopedic Surgery | Mckenzie Memorial Hospital | 100 Argyle St, Suite 3, Sandusky, MI 48471 |
Lori M Nugent | Physician Assistant | Mckenzie Memorial Hospital | 109 N Delaware St, Sandusky, MI 48471-1008 |
Suzette Carol Walker | Nurse Practitioner | Mckenzie Memorial Hospital | 170 W Argyle St, Sandusky, MI 48471-1097 |
Kristie L Harms | Nurse Practitioner | Mckenzie Memorial Hospital | 251 E Peck Rd, Peck, MI 48466-9589 |
Islam A Gomaa | Emergency Medicine | Mckenzie Memorial Hospital | 120 N Delaware St, Sandusky, MI 48471-1009 |
Michael K Lewis | Nurse Practitioner | Mckenzie Memorial Hospital | 120 N Delaware St, Sandusky, MI 48471-1009 |
Ryan P Mcconnell | Family Medicine | Mckenzie Memorial Hospital | 120 N Delaware St, Sandusky, MI 48471-1009 |
Megan S Burgess | Nurse Practitioner | Mckenzie Memorial Hospital | 120 N Delaware St, Sandusky, MI 48471-1009 |
Street Address |
8 N HOWARD AVE |
City | CROSWELL |
State | MI |
Zip | 48422-1221 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberley A Curell | Physician Assistant | Mckenzie Memorial Hospital | 8 N Howard Ave, Croswell, MI 48422-1221 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jonathan S Del Rosario | Physical Therapy | Croswell Manual Therapy Inc. | 51 Brown St, Suite 5, Croswell, MI 48422-1159 |
Donna M Grundman | Physical Therapy | Croswell Manual Therapy Inc. | 51 Brown St, Suite 5, Croswell, MI 48422-1159 |
Philip S Rutherford | Chiropractic | 31 N Howard Ave, Croswell, MI 48422-1222 | |
Jerry J Hosterman | Clinical Social Worker | 81 N Howard Ave, Croswell, MI 48422-1222 | |
Gloria Klinesteker | Clinical Social Worker | Sanilac County Community Mental Health Authority | 110 N Howard Ave, Croswell, MI 48422-1256 |
Jodie L-k Jones | Clinical Social Worker | 112 N Howard Ave, Croswell, MI 48422-1278 | |
Loretta Mullally | General Practice | 5525 Peck Rd, Croswell, MI 48422-9108 | |
Thomas S Mullally | Family Medicine | 5525 Peck Rd, Croswell, MI 48422-9108 |
City | CROSWELL |
Zip Code | 48422 |
Specialty | INTERNAL MEDICINE |
City + Specialty | CROSWELL + INTERNAL MEDICINE |
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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.