MATTHEW GREGORY SHUTSKE (NPI# 1235171547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235171547 |
| Entity Type | Individual |
| Full Name | MATTHEW GREGORY SHUTSKE |
| Credential | MD |
| Practice Address |
1780 Nw Myhre Rd. Suite 1220 Silverdale WA 98383 |
| Mailing Address |
P.o. Box 2629 Port Orchard WA 98366 |
| Practice Telephone | 3603376500 |
| Practice Fax Number | 3606625501 |
| Mailing Telephone | 3603376500 |
| Mailing Fax Number | 3606625501 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00046534 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8458697 | 05 |
| Street Address |
1780 NW MYHRE RD. SUITE 1220 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770740854 | Jesse Rogoza Knight | Radiology | 2916 Nw Bucklin Hill Rd # 381, Silverdale, WA 98383-8514 | 2008-05-17 |
| 1528092632 | Kristine L. Lineberry | Radiology | 1780 Nw Myhre Rd Ste 1220, Silverdale, WA 98383-8676 | 2006-07-11 |
| 1700858396 | Douglas Edward Brown | Radiology | 2916 Nw Bucklin Hill Rd Ste 381, Silverdale, WA 98383-8514 | 2006-02-07 |
| 1013204759 | Ruri Lee | Radiology | 2916 Nw Bucklin Hill Rd # 381, Silverdale, WA 98383-8514 | 2011-07-01 |
| 1376749655 | Patricia Helene Burkhart | Radiology | 2200 Nw Myhre Road, Silverdale, WA 98383-7681 | 2007-06-25 |
| 1598802399 | Tai H Luong | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1366589236 | Victor Leen | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1033256912 | Howard N Douds | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1265579171 | Michael L Cook | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2007-01-31 |
| 1750441614 | Olympic Medical Imaging Consultants, Pllc | Radiology | 1780 Nw Myhre Rd, Suite 1220, Silverdale, WA 98383-8676 | 2006-12-11 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
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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.