MR. MATTHEW RADEL (NPI# 1649621624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649621624 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW RADEL |
| Practice Address |
500 Sterling Dr Orchard Park NY 14127-1573 |
| Mailing Address |
3085 Harlem Rd Ste 350 Cheektowaga NY 14225-2591 |
| Practice Telephone | 7166772273 |
| Practice Fax Number | 7166772256 |
| Mailing Telephone | 7168445600 |
| Mailing Fax Number | 7168445750 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 019756-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04540429 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710174164 | Matthew Alan Radel | Physician Assistant | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2007-10-01 |
| Street Address |
500 STERLING DR |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648465 | Theresa Buczek | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2005-09-07 |
| 1790919728 | Matthew James Sheldon | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2009-05-05 |
| 1447429576 | Phillip James Seereiter Jr. | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2008-02-22 |
| 1083726251 | Lisa Domagala | Physician Assistant | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2006-08-31 |
| 1477560738 | Mark J Doerr | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2006-08-01 |
| 1518902899 | Shannon M Bunch | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2006-06-19 |
| 1932171659 | James Paul Rew | Physician Assistant | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2006-02-06 |
| 1851387419 | Louis R Baumann | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2005-09-20 |
| 1568457182 | Carlo M Perfetto | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2005-09-20 |
| 1134114051 | Anthony R Ricottone | Urology | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2005-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945877 | Mark Peter Eberhard | Physician Assistant | 3671 Southwestern Blvd Ste 101, Orchard Park, NY 14127-1749 | 2019-04-08 |
| 1992207765 | Shannon Mcfall | Physician Assistant | 3065 Southwestern Blvd Ste 102, Orchard Park, NY 14127-1239 | 2018-03-07 |
| 1538661988 | Lauren M Zanda | Physician Assistant | 3671 Southwestern Bld, St 101, Orchard Park, NY 14127-1752 | 2018-03-01 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1942542394 | Brooke Danielle Scruggs | Physician Assistant | 3245 Southwestern Blvd., Orchard Park, NY 14127-1241 | 2013-03-25 |
| 1578818670 | Jenna Patricia Martin | Physician Assistant | 3075 Southwestern Blvd Ste 100, Orchard Park, NY 14127-1236 | 2012-07-16 |
| 1811285455 | Darren M Holland | Physician Assistant | 3671 Southwestern Blvd., Suite 213, Orchard Park, NY 14127-1752 | 2011-07-18 |
| 1649580762 | Amanda J Hnat | Physician Assistant | 3560 North Buffalo Road, Orchard Park, NY 14127-1934 | 2010-10-08 |
| 1972568434 | Heather Andrzejewski | Physician Assistant | 3670 South Benzing Rd, Suite C, Orchard Park, NY 14127 | 2006-04-19 |
| 1811961485 | Josie Sisson | Physician Assistant | 6300 Powers Rd, Orchard Park, NY 14127-3216 | 2006-02-13 |
| Find all providers in ORCHARD PARK | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.