DR. MATTHEW WILLIAM SHORE (NPI# 1669814737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669814737 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WILLIAM SHORE |
| Credential | M.D. |
| Practice Address |
8915 W Connell Ave Dept Of Milwaukee WI 53226-3067 |
| Mailing Address |
Po Box 678268 Dallas TX 75267-8268 |
| Practice Telephone | 4142662523 |
| Mailing Telephone | 6088337727 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-150688 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
62883-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uw Hospital and Clinics, 600 Highland Ave, H4/831, Madison, WI 537920001 | 6082638310 | |
| 1000 N Westmoreland Road, Radiology Department, Lake Forest, IL 60045 | 8472345600 | 8475357847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730431131 | Matthew Merritt Shore | Social Worker | 3001 Hennepin Ave, #2170, Minneapolis, MN 55408-2647 | 2012-10-09 |
| 1497803514 | Matthew Shore | Family Medicine | 8380 Old York Rd Ste 100, Elkins Park, PA 19027-1574 | 2007-01-08 |
| Street Address |
8915 W CONNELL AVE DEPT OF |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1245538636 | Moira Ferrier Schieke | Radiology | 2542 N Terrace Ave, Milwaukee, WI 53211-3820 | 2011-03-09 |
| 1811127558 | Michael Orrin Griffin Jr. | Radiology | 9200 W. Wisconsin Ave., Department of Radiology, Milwaukee, WI 53226 | 2009-07-15 |
| 1598949026 | Deidre Meredith Rippl | Radiology | 2900 Oklahoma Ave, Milwaukee, WI 53215 | 2007-12-19 |
| 1053510115 | Petre Iosif Wecsler | Radiology | 7019 N Barnett Ln, Milwaukee, WI 53217-3606 | 2007-07-17 |
| 1285858019 | William Thomas Luckey | Radiology | 1545 W Spruce Ct, Milwaukee, WI 53217-1128 | 2007-04-12 |
| 1407957491 | Ferdinand M Brutvan | Radiology | 1925 E Iron St, Milwaukee, WI 53207-2315 | 2006-09-25 |
| 1295752251 | Sean R Amoli | Radiology | 6150 W Layton Ave, Milwaukee, WI 53220-4608 | 2006-07-16 |
| 1760416994 | Enhanced Medical Imaging Milwaukee LLC | Radiology | 7523 W Oklahoma Ave, Milwaukee, WI 53219-2861 | 2006-07-11 |
| 1396784948 | John Lammers | Radiology | 10400 W North Ave, Suite 300, Milwaukee, WI 53226-2425 | 2006-06-06 |
| 1184673964 | Pediatric Radiologic Services Sc | Radiology | 9000 West Wisconsin Avenue, Milwaukee, WI 53201 | 2006-05-09 |
| Find all providers in MILWAUKEE | ||||
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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.