FREDERICK A MATSEN III (NPI# 1023193836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023193836 |
| Entity Type | Individual |
| Full Name | FREDERICK A MATSEN III |
| Practice Address |
University of Washington Medical Ctr 1959 Ne Pacific St Seattle WA 98195-6500 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2065433690 |
| Mailing Telephone | 2065436420 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD00012229 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1023193836 | 05 | |
| INTERNAL ID-MOTOR VEHICLE ID | 9113 | 01 | |
| WA | L&I | 0231531 | 01 |
| Street Address |
UNIVERSITY OF WASHINGTON MEDICAL CTR 1959 NE PACIFIC ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053352708 | Brian J Krabak | Physical Medicine & Rehabilitation | University of Washington Medical Ctr, Dept Rehabilitation Medicine1959 Pacific Ne, 356490, Seattle, WA 98195-0001 | 2006-06-10 |
| 1841654647 | Lauren Puryear | Genetic Counselor, MS | University of Washington Medical Ctr, Medical Genetics - Box 357720, Seattle, WA 98195-7720 | 2016-04-07 |
| 1295101822 | Mara Calhoun | Social Worker | University of Washington Medical Ctr, 1959 Ne Pacific St Box 357920, Seattle, WA 98195-7920 | 2015-08-18 |
| 1922425008 | Marta Hunt | Registered Nurse | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2014-03-26 |
| 1831511039 | Anne Ritchie Mcnicol | Speech-Language Pathologist | University of Washington Medical Ctr, 1959 Ne Pacific St, Box 356154, Seattle, WA 98195-0001 | 2014-01-08 |
| 1811331101 | Emily Amanda Malouf | Genetic Counselor, MS | University of Washington Medical Ctr, Medical Genetics, Box 357720, Seattle, WA 98195-0001 | 2013-04-17 |
| 1225352982 | Tina Dinesh Tailor | Student in an Organized Health Care Education/Training Program | University of Washington Medical Ctr, 1959 Northeast Pacific Street, Seattle, WA 98195-0001 | 2010-03-23 |
| 1356579916 | Jesse Alexander Levin | Internal Medicine | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2009-06-23 |
| 1205078896 | Jeffrey Chandler Beck | Pediatrics | University of Washington Medical Ctr, 1959 Ne Pacific Street, Seattle, WA 98195-0001 | 2009-03-30 |
| 1770766073 | Matthew P Sweet | Surgery | University of Washington Medical Ctr, 1959 Ne Pacific St., Bb-487, Box #356410, Seattle, WA 98195-0001 | 2007-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| 1447693361 | Jimmy Hoshang Daruwalla | Orthopaedic Surgery | 600 Broadway Ste 440, Seattle, WA 98122 | 2013-04-10 |
| 1275899635 | Andre D Shaffer | Orthopaedic Surgery | 600 Broadway Ste 340, Seattle, WA 98122 | 2012-04-10 |
| 1659664811 | Mia Smucny Hagen | Orthopaedic Surgery | 3800 Montlake Ave Ne, Seattle, WA 98195-2203 | 2011-05-20 |
| 1023245644 | Kim Richards Driftmier | Orthopaedic Surgery | 325 9th Ave N, Seattle, WA 98109-5122 | 2009-06-22 |
| 1437392479 | Jia-wei Kevin Ko | Orthopaedic Surgery | 601 Broadway 6th, Seattle, WA 98122-5330 | 2009-04-07 |
| 1104063932 | Gregory A Demopulos Md, Pllc | Orthopaedic Surgery | 1420 5th Ave Ste 2600, Seattle, WA 98101-2613 | 2009-01-15 |
| 1477748416 | Vincent Ng | Orthopaedic Surgery | 8552 20th Ave Nw, Seattle, WA 98117-3524 | 2007-09-12 |
| 1205996105 | Albert Ooguen Gee | Orthopaedic Surgery | 3850 Montlake Blvd, Room 148, B, Seattle, WA 98195-0007 | 2006-12-11 |
| 1144306952 | Nancy Jennifer Kadel | Orthopaedic Surgery | 3213 Eastlake Avenue East, Suite A, Seattle, WA 98102 | 2006-10-27 |
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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.