DR. MATTHEW AMANDUS STUDER (NPI# 1871702068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871702068 |
Entity Type | Individual |
Full Name | DR. MATTHEW AMANDUS STUDER |
Credential | M.D. |
Practice Address |
Madigan Army Medical Ctr Mchj-clp-s Tacoma WA 98431-1100 |
Practice Telephone | 2539681622 |
Practice Fax Number | 2539680384 |
Mailing Telephone | 2539681622 |
Mailing Fax Number | 2539680384 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2013-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
MD00040574 | WA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477150621 | Matthew Studer | Peer Specialist | 110 Reading Ave, Jonesville, MI 49250-1136 | 2020-10-01 |
1578040366 | Matthew Bernard Studer | Student in an Organized Health Care Education/Training Program | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2018-07-24 |
1225586589 | Matthew John Studer | Physician Assistant | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2016-09-15 |
1366707945 | Matthew E. Studer | Counselor | 120 S Main St, Heppner, OR 97836-2033 | 2012-07-10 |
Street Address |
MADIGAN ARMY MEDICAL CTR MCHJ-CLP-S |
City | TACOMA |
State | WA |
Zip Code | 98431-1100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033114954 | Larry E Witham | Physician Assistant | Madigan Army Medical Ctr, 9040a Reid Street, Tacoma, WA 98431-1100 | 2005-06-16 |
1417483512 | Carah Labrier | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Aveunue, Tacoma, WA 98431-0001 | 2017-05-10 |
1396270823 | Cherise Janen Hartman | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-21 |
1356876924 | Joseph Durso | Student in an Organized Health Care Education/Training Program | Madigan Army Medical Ctr, 9040 Jackson Avenue, Tacoma, WA 98431-0001 | 2017-04-20 |
1891228474 | Alfonso David Bernal-stevens | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-04-10 |
1730612573 | Tifani Mcgovern | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-04-08 |
1770024184 | Susan Marie Beale | Licensed Practical Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-17 |
1417498957 | Danielle Jones | Pharmacy Technician | Madigan Army Medical Ctr, 9040 Jackson Ave. Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-16 |
1962943514 | Edwin Pampo | Registered Nurse | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-15 |
1497296578 | Margie Ayala | Technician, Pathology | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
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Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083775902 | Donald L Trippel | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
1669662417 | Josiah Moises Penalver | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2007-07-27 |
1881755726 | Roberta Sue Stephenson | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
1730240599 | Northwest Pediatric Heart Specialists Pllc | Pediatrics | 1901 S Cedar St Ste 103, Tacoma, WA 98405-2302 | 2006-12-13 |
1891872008 | Ronald Scott Wells | Pediatrics | 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2006-11-01 |
1699875716 | Matthew V. Park | Pediatrics | 314 Martin Luther King Jr Way, #303, Tacoma, WA 98405-4250 | 2006-09-25 |
1164445367 | Pediatrix Cardiology of Washington, P.C. | Pediatrics | 314 Martin Luther King Jr Way, Ste. 303, Tacoma, WA 98405-4250 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760823801 | Ashish Garg | Pediatrics | 112 Columbia Point Dr Ste 103, Richland, WA 99352-4390 | 2013-07-16 |
1164690046 | Jason Deen | Pediatrics | 4745 49th Ave Ne, Seattle, WA 98105-3829 | 2008-02-13 |
1225215999 | Agustin Eduardo Rubio | Pediatrics | 4800 Sand Point Way Ne Seattle Children's Hospital, Division of Pediatric Cardiology, G-0035, Seattle, WA 98105-3901 | 2008-01-24 |
1760685861 | Brian D Soriano | Pediatrics | 4800 Sand Point Way Ne # G-0035, Seattle, WA 98105-3901 | 2007-06-06 |
1689068173 | Joshua John Price | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-03-24 |
1659787075 | Iman Naimi | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-07-07 |
1265859375 | Erik L Frandsen | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-03-26 |
1548603301 | Humera Ahmed | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-04-11 |
1184966384 | Elizabeth C Caris | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2013-03-26 |
1952650145 | Eyal Sagiv | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2012-09-04 |
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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.