MEDICARE: MATTHEW FREDERICK CHERCHES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	99156	GA

General Provider Information

NPI Number	:	1467016022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW FREDERICK CHERCHES MD

Provider Business Mailing Address
First Line	:	4501 VERONE ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-5513
Country	:	US
Telephone Number	:	832-722-3517
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 PARNASSUS AVENUE, MU 320 WEST
Second Line	:
City	:	SAN FRANSISCO
State	:	CA
Zip	:	94143
Country	:	US
Telephone Number	:	415-476-6548
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2019
Last Update Date	:	07/22/2025

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