Matthew J Stalker (NPI# 1669490090, PAC ID# 9739114349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1669490090 |
| PAC ID by PECOS | 9739114349 |
| Professional Enrollment ID | I20060818000092 |
| Full Name | Matthew J Stalker |
| Organization Legal Name | TRIAD RADIOLOGY AND IMAGING LTD |
| Address |
1416 George Dieter Dr El Paso TX 79936-7601 |
| Phone Number | 9155984240 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8325146970 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450877 | FOUNDATION SURGICAL HOSPITAL OF EL PASO |
| Address | Phone | Organization |
|---|---|---|
| 1416 George Dieter Dr, El Paso, TX 79936-7601 | 9155984240 | TRIAD RADIOLOGY AND IMAGING LTD |
| 8930 Waukegan Rd, Suite 130, Morton Grove, IL 60053-2132 | 8479295453 | BASHA DIAGNOSTICS PC |
| 9000 Waukegan Rd, Suite 110, Morton Grove, IL 60053-2128 | 8472132700 | TRIAD RADIOLOGY AND IMAGING LTD |
| 30701 Woodward Ave Ll, Royal Oak, MI 48073-0987 | 2482881600 | BASHA DIAGNOSTICS PC |
| 13753 19 Mile Rd, Sterling Hts, MI 48313-2703 | 5865668680 | BASHA DIAGNOSTICS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | TRIAD RADIOLOGY AND IMAGING LTD |
| Physicians | 1 |
| Street Address |
1416 GEORGE DIETER DR |
| City | EL PASO |
| State | TX |
| Zip | 79936-7601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yves R Senat | Nurse Practitioner | Southwest Medical Associates, Inc. | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Laura J Murphy | Certified Registered Nurse Anesthetist (crna) | Texas Ams Pllc | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Daisy Marin | Certified Registered Nurse Anesthetist (crna) | Texas Ams Pllc | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| William J Frazier | Emergency Medicine | Southwest Medical Associates, Inc. | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Wendy S Noles | Certified Registered Nurse Anesthetist (crna) | Texas Ams Pllc | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Janell I. Montelongo | Certified Registered Nurse Anesthetist (crna) | Texas Ams Pllc | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Brett Aaron Mcfadden | Internal Medicine | Southwest Medical Associates, Inc. | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Brandi P Rice | Certified Registered Nurse Anesthetist (crna) | Texas Ams Pllc | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Killeen Moss Moreno | Family Medicine | Southwest Medical Associates, Inc. | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Scott R Fagan | Emergency Medicine | Southwest Medical Associates, Inc. | 1416 George Dieter Dr, El Paso, TX 79936-7601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel Alejandro Padilla Jr. | Family Medicine | Sun City Medical Clinic, P.a. | 1651 Joe Battle, El Paso, TX 79936 |
| Maria I Padilla | Nurse Practitioner | Sun City Medical Clinic, P.a. | 1651 Joe Battle, El Paso, TX 79936 |
| John Patterson | Family Medicine | 11680 Pebble Hills Blvd, Suite 109, El Paso, TX 79936-1091 | |
| Lorenzo L Nichols Ii | Optometry | Gammoh Premier Vision LLC | 1830 Joe Battle Blvd, Suite 101, El Paso, TX 79936-1146 |
| Hector Lopez | Family Medicine | 3130 N Lee Trevino Dr, Ste. 114, El Paso, TX 79936-2179 | |
| Omar Gonzalez-camarena | Internal Medicine | 1715 Saul Kleinfeld Dr, El Paso, TX 79936-3706 | |
| Vinson E Nance | Optometry | 11365 Montwood Dr, Suite D, El Paso, TX 79936-3867 | |
| Jose A Barahona | Internal Medicine | 11355 Montwood Dr, Suite A, El Paso, TX 79936-3883 | |
| Uzodinma Raphael Dim | Cardiovascular Disease (cardiology) | 2200 George Dieter Dr, El Paso, TX 79936-3915 | |
| Shanker S Sundrani | Neurosurgery | 3028 Trawood Dr, Suite C, El Paso, TX 79936-3948 | |
| Find all physicians in zip 79936 | |||
| City | EL PASO |
| Zip Code | 79936 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EL PASO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Matthew J Stalker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.