MATTHEW J RADELET (NPI# 1386611192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386611192 |
| Entity Type | Individual |
| Full Name | MATTHEW J RADELET |
| Credential | PA-C |
| Practice Address |
1555 E River Rd Tucson AZ 85718-5831 |
| Practice Telephone | 5203219850 |
| Practice Fax Number | 5203219005 |
| Mailing Telephone | 5203219850 |
| Mailing Fax Number | 5203219005 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4913 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1555 E RIVER RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235562083 | Michelle Calpe Thomas | Acupuncturist | 1555 E River Rd, Tucson, AZ 85718-5831 | 2013-08-15 |
| 1225228901 | Jolene Clark Hardy | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718 | 2007-07-27 |
| 1295813418 | James Byron Benjamin | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| 1114005253 | Michael David Miller | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| 1689752727 | Francisco G Valencia | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| 1710065867 | University Orthopedic Specialists, Pllc | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| 1851470876 | Dustyn L Severns | Physician Assistant | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-11-02 |
| 1881790723 | Jon Kenneth Nisbet | Orthopaedic Surgery | 1555 E River Rd, Tucson, AZ 85718-5831 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
| 1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| 1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| 1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
| 1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
| 1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| Find all providers in zip 85718 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
| 1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
| 1982084562 | Cj Surgical Assisting | Physician Assistant | 9420 E. Golf Links Rd., Ste 108 #138, Tucson, AZ 85730-1317 | 2015-06-09 |
| 1073901492 | Claudia Y Coello-rasoumoff | Physician Assistant | 2803 E 5th St, Tucson, AZ 85716-4433 | 2015-01-07 |
| 1902211600 | David Ybarbo Flores | Physician Assistant | 7853 N Kristin Pl, Tucson, AZ 85741-3926 | 2014-06-22 |
| 1417369729 | Caitlin Marie Harper | Physician Assistant | 9685 E Paseo San Ardo, Tucson, AZ 85747 | 2014-05-21 |
| 1205257359 | Carolyn Jones | Physician Assistant | 5963 E Franklin Tale Dr, Tucson, AZ 85756-8653 | 2013-12-16 |
| 1376886135 | Diane M Williams | Physician Assistant | 6336 N Oracle Rd # 326245, Tucson, AZ 85704-5480 | 2013-03-30 |
| 1740524123 | April Hanna, Pa-c Pllc | Physician Assistant | 12121 E Barbary Coast Rd, Tucson, AZ 85749-8443 | 2012-11-25 |
| 1619287620 | Mukesh N Shah | Physician Assistant | 6455 E Nelson Dr, Tucson, AZ 85730 | 2010-10-12 |
| Find all providers in TUCSON | ||||
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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.