MALCOLM D MATTES (NPI# 1770889511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770889511 |
| Entity Type | Individual |
| Full Name | MALCOLM D MATTES |
| Credential | M.D. |
| Practice Address |
101 Stadium Dr Morgantown WV 26506-7911 |
| Mailing Address |
Po Box 780 Morgantown WV 26507-0780 |
| Practice Telephone | 3045984706 |
| Mailing Telephone | 3042857101 |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
25810 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
101 STADIUM DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506-7911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721817 | Daniel Allen Martin | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2005-12-16 |
| 1023646023 | Shreyas Shirodkar | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-27 |
| 1972130946 | Bandar Ali Alyami | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1568099513 | Jacob Wayne Helsel Jr. | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1063049112 | Sher Ahmed Khan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-26 |
| 1932736360 | Christopher Jeffery Gates | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1316574726 | Braden Ellis Taylor | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1659908945 | Gregory Adam Perkowski | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-25 |
| 1043847841 | Katherine Louise Bergman | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-24 |
| 1942837570 | Aisha Abbasi | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972562627 | John C Frich | Radiology | 1stadium Dr, Morgantown, WV 26506-7911 | 2006-03-21 |
| 1831325844 | Ann Marie Morris | Radiology | 1 Medical Center Dr, Morgantown, WV 26506 | 2009-06-04 |
| 1417117094 | Christopher Nicholas Watson | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2008-06-17 |
| 1669485595 | Gwynn L Jelden | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-08-14 |
| 1295763969 | James Littles | Radiology | 1200 J D Anderson Dr, Morgantown, WV 26505-3494 | 2006-06-29 |
| 1164423232 | Geraldine M Jacobson | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164687521 | Logan Oncology Care Associates, LLC | Radiology | 601 Holden Road, Logan, WV 25601-0000 | 2008-07-25 |
| 1235290214 | Velayudhan Sahadevan | Radiology | 155 Dry Hill Road, Beckley, WV 25801 | 2006-12-13 |
| 1437192630 | Charles H Shelton IIi | Radiology | 187 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-06-14 |
| 1184667826 | Greenbrier Valley Radiation Oncology, Pllc | Radiology | 187 Skylar Drive, Fairlea, WV 24901-9359 | 2006-06-13 |
| 1063469625 | Radiation Oncology Associates, Inc. | Radiology | 210 New Hope Rd, Princeton, WV 24740-2136 | 2006-05-28 |
| 1962867408 | Wheeling Hospital, Inc. | Radiology | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2015-12-29 |
| 1578839957 | Tara Melgary Hansen | Radiology | 401 Division St, South Charleston, WV 25309-1455 | 2012-03-29 |
| 1770803314 | Phuong Nguyen | Radiology | 2000 Eoff St, Wheeling, WV 26003-3823 | 2010-06-06 |
| 1285950873 | Rebekah L Young | Radiology | 1400 Hal Greer Blvd, Huntington, WV 25701-4114 | 2010-04-08 |
| 1174858039 | Premier Radiation Oncology, Inc. | Radiology | 2900 1st Ave, Huntington, WV 25702-1241 | 2009-10-12 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.