Matthew B Grundfast (NPI# 1124011085, PAC ID# 8527962869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1124011085 |
| PAC ID by PECOS | 8527962869 |
| Professional Enrollment ID | I20031125000517 |
| Full Name | Matthew B Grundfast |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF DUBLIN LLC |
| Address |
104 Fairview Park Dr Dublin GA 31021-2500 |
| Phone Number | 4782771255 |
| Gender | M |
| Credential | MD |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1997 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325349616 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110128 | MEADOWS REGIONAL MEDICAL CENTER |
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 Fairview Park Dr, Dublin, GA 31021-2500 | 4782771255 | GASTROENTEROLOGY ASSOCIATES OF DUBLIN LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 23% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 64% |
| Organization Legal Name | GASTROENTEROLOGY ASSOCIATES OF DUBLIN LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarence Martin Christian | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Street Address |
104 FAIRVIEW PARK DR |
| City | DUBLIN |
| State | GA |
| Zip | 31021-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarence Martin Christian | Gastroenterology | Gastroenterology Associates of Dublin LLC | 104 Fairview Park Dr, Dublin, GA 31021-2500 |
| Charity Rena Joiner | Nurse Practitioner | Health Services of Central Georgia | 104 Fairview Park Dr, Suite B, Dublin, GA 31021-2500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Taylor | Geriatric Medicine | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Chaquita M Moore | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Amanda K Smith | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Shelley H Pool | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Laura D Mullis | Nurse Practitioner | Southeast Geriatrics Inc | 160 Springbranch Dr, Dublin, GA 31021 |
| Jane B Holleman | Physical Therapy | 612 Country Club Rd, Dublin, GA 31021-0112 | |
| William Alfred Cox | Optometry | 2423 Us Hwy 80 W, C/o The Vision Center, Dublin, GA 31021-0930 | |
| Melissa F Gay | Qualified Audiologist | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Thomas Corbin Mullis | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Paul D Kellam Jr. | Otolaryngology | Dublin Ear Nose and Throat Associates, P.C. | 102 Fairview Park Dr, Dublin, GA 31021-2500 |
| Find all physicians in zip 31021 | |||
| City | DUBLIN |
| Zip Code | 31021 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | DUBLIN + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Matthew B Grundfast.
| 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.