| Matthew Smith MD PC | |
|
1753 W Ridgeway Ave Ste 103a Waterloo IA 50701-4521 | |
| (319) 235-3568 | |
| (319) 235-5013 |
| Full Name | Matthew Smith MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 1753 W Ridgeway Ave Ste 103a, Waterloo, Iowa |
| Authorized Official Name and Position | Matthew Smith (MD) |
| Authorized Official Contact | 3192353568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Smith MD PC Po Box 2818 Waterloo IA 50704-2818 | Matthew Smith MD PC 1753 W Ridgeway Ave Ste 103a Waterloo IA 50701-4521 Ph: (319) 235-3568 |
| NPI Number | 1154072379 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 8022402411 |
|---|---|
| Medicare Enrollment ID | O20220301001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154072379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Matthew J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609876507 PECOS PAC ID: 1355322199 Enrollment ID: I20040526001718 |
| Provider Name | Chi-ying Diana Sage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831722370 PECOS PAC ID: 4082044995 Enrollment ID: I20200416002626 |
Family Health Center of Waterloo, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Ridgeway Ave, Suite 106, Waterloo, IA 50701 Phone: 319-226-4400 Fax: 319-226-4401 |
Hunter Integrative Medicine PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3151 Brockway Rd Ste 122, Waterloo, IA 50701 Phone: 319-251-5154 Fax: 319-204-3985 |
Peoples Community Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 Fax: 319-272-4321 |
Nagarathnamma Nadipuram, MD, PLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-235-3178 Fax: 319-274-6776 |
Iowa Gastroenterology Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 St. Francis Drive, Suite 401, Waterloo, IA 50702 Phone: 319-830-4538 |
Matthew Kettman MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Plaza Cir Ste A, Waterloo, IA 50701 Phone: 830-320-3852 |