Matthew G. Kinzelman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME40346 Issued in FL

Practice address

3754 Highway 90
200
Pace, FL 32571-1020

Phone

(850) 416-5200

Fax

(850) 416-5201

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sacred Heart Health System, Inc.

  • Urgent Care Clinic/Center
  • Pensacola, FL
  • NPI 1770533077
  NPD (past)
• Tri Hospital MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Huron, MI
  • NPI 1063581353
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1104871979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 HIGHWAY 90",
            "address_2": "200",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711020",
            "telephone_number": "850-416-5200",
            "fax_number": "850-416-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZELMAN",
        "first_name": "MATTHEW",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME40346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuan Quoc Khuu, PHARMD
• Kids Care Pediatrics of NW FL. Inc
• Kids Talk Place LLC
• Robert Gerald Kincaid III, D.O.
• Janelle Suri King, M.S., CCC-SLP
• Kristin Ashly Knoth
• Benjamin Louis Konell, DO
• Ann Kopelson, MD
• Haley Marie Kramer, MSW
• Wayne Kramer

• Family Medicine Physician in Pace, FL
• Providers in Pace, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.