MATTHEW ALAN RADEL (NPI# 1710174164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710174164 |
| Entity Type | Individual |
| Full Name | MATTHEW ALAN RADEL |
| Credential | PA |
| Practice Address |
11567 Canterwood Blvd Nw Gig Harbor WA 98332-5812 |
| Mailing Address |
505 S 336th St Ste 600 Federal Way WA 98003-5947 |
| Practice Telephone | 2535302100 |
| Mailing Telephone | 8003368614 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2013-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA01269 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60178573 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649621624 | Matthew Radel | Physician Assistant | 500 Sterling Dr, Orchard Park, NY 14127-1573 | 2016-06-30 |
| Street Address |
11567 CANTERWOOD BLVD NW |
| City | GIG HARBOR |
| State | WA |
| Zip Code | 98332-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599715 | Brynna Bodle | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332 | 2019-07-15 |
| 1902463862 | Emma Helms | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2019-05-24 |
| 1336608710 | Deanne Marie Siridakis | Counselor | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2019-03-15 |
| 1093291262 | Karisha Schall | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2018-07-11 |
| 1669970299 | Ashley Elizabeth Yates | Student in an Organized Health Care Education/Training Program | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2018-01-29 |
| 1851766406 | Mary Christie | Occupational Therapist | 11567 Canterwood Blvd Nw, St Anthony Hospital Suite 20, Gig Harbor, WA 98332 | 2015-12-08 |
| 1114282019 | Ka Ning Jellison | Pharmacist | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2012-07-08 |
| 1609135821 | Blesserene Punzalan Kazacos | Emergency Medicine | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2012-05-08 |
| 1841597523 | Franciscan Health Systems | General Acute Care Hospital | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2011-02-16 |
| 1942501945 | Kathryn Marie Brokaw | Pharmacist | 11567 Canterwood Blvd Nw, Gig Harbor, WA 98332-5812 | 2010-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584125 | William Edmondson Wells | Counselor | Wccw, 9601 Bujacick Rd. Nw, Gig Harbor, WA 98332 | 2018-10-17 |
| 1417446758 | Janelle Elizabeth Becker | Physician Assistant | 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 | 2018-05-02 |
| 1205252046 | Jenny Wical | Registered Nurse | 12201 Osprey Dr. Nw, Gig Harbor, WA 98332 | 2014-03-17 |
| 1134486616 | Jacinda Leigh Pickett | Pharmacist | 10990 Harbor Hill Dr, Gig Harbor, WA 98332 | 2012-04-20 |
| 1114242898 | Michael Robert Conger | Urology | 9704 Woodworth Ave Nw, Gig Harbor, WA 98332 | 2010-04-06 |
| 1346473899 | Robert Howard Lerman | Internal Medicine | 9770 44th Ave Nw, Suite 102, Gig Harbor, WA 98332 | 2009-09-01 |
| 1447406699 | Franciscan Health System | General Acute Care Hospital | 11567 Canterwood Blvd, Gig Harbor, WA 98332 | 2008-08-07 |
| 1730303249 | Richard Mason Coyner | Dentist | 7715 Pioneer Way, Gig Harbor, WA 98332 | 2007-04-13 |
| 1902978711 | Byron D Fenton | Chiropractor | 14619 Purdy Dr, Gig Harbor, WA 98332 | 2006-11-15 |
| 1063515351 | Gordon Bernstein | Radiology | 5304 W Old Stump Dr Nw, Gig Harbor, WA 98332 | 2006-09-05 |
| Find all providers in zip 98332 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083031025 | Casey Pinch | Physician Assistant | 4700 Point Fosdick Dr Nw Ste 219, Gig Harbor, WA 98335-1706 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
| 1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
| 1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
| 1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
| 1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
| 1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
| City | GIG HARBOR |
| Zip Code | 98332 |
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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.