DR. MATTHEW RYSKALCZYK (NPI# 1023451655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023451655 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RYSKALCZYK |
| Credential | DMD, MD |
| Practice Address |
21701 76th Ave W Ste 202 Edmonds WA 98026-7536 |
| Practice Telephone | 4257441724 |
| Mailing Telephone | 4257441724 |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DE61017384 | WA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | MD60918839 | WA | Allopathic & Osteopathic Physicians |
| Street Address |
21701 76TH AVE W STE 202 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112575 | Charles David Smith | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street; Hsb Room B 241, Seattle, WA 98195-0001 | 2020-04-03 |
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1952840274 | Onyinyechi Kelechukwu Esonu | Oral & Maxillofacial Surgery | 1959 Ne Pacific St # 357134, University of Washington Department of Oral Surgery, Seattle, WA 98195-0001 | 2017-02-20 |
| 1861855710 | Kevin Huang | Oral & Maxillofacial Surgery | 119 S 295th Pl, Federal Way, WA 98003-3659 | 2016-03-29 |
| 1598146730 | Chia-lin Michael Tsai | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Hsb Rm B241, Box 357134, Seattle, WA 98195-0001 | 2015-06-12 |
| 1386037570 | Rodney Nakano Nishimoto | Oral & Maxillofacial Surgery | University of Washington Oms, 1959 Ne Pacific Street Box 357134, Seattle, WA 98195 | 2015-03-11 |
| 1164815569 | Joseph Garcia | Oral & Maxillofacial Surgery | 2960 Eastlake Ave E Apt 208, Seattle, WA 98102-2003 | 2015-03-09 |
| 1154687770 | Joshua Stephen Brandner | Oral & Maxillofacial Surgery | 1959 Ne Pacific Street Box 357134, Seattle, WA 98195-3372 | 2012-04-09 |
| 1538398524 | J. Michael Edwards | Oral & Maxillofacial Surgery | 265 Carefree Way, Friday Harbor, WA 98250-9417 | 2009-07-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.