Matthew Gambone in Bellevue - Physician Assistant
Matthew Gambone - NPI 1104869478
Matthew Gambone is a Physician Assistant in Bellevue, Washington. Matthew Gambone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Matthew Gambone is 1104869478. The last update date is 2017-02-28.
Matthew Gambone's current location address is 1810 116th Ave Ne, Bellevue, Washington. You can contact this provider via phone number 4254552131 and fax number 4254552335. The mailing address for Matthew Gambone is 1810 116th Ave Ne, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew Gambone |
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Address | 1810 116th Ave Ne, Bellevue, Washington |
Phone Number | 4254552131 |
Fax Number | 4254552335 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1104869478 |
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Provider Enumeration Date | 2006-06-14 |
Last Updated Date | 2017-02-28 |
Provider Mailing Address Detail
Address | 1810 116th Ave Ne |
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City | Bellevue |
State | Washington (WA) |
Post Code | 980043058 |
Phone Number | 4254552131 |
Fax Number | 4254552335 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA10003733 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1391507 | CO | -- |
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What is the unique 10-digit identification code assigned to Matthew Gambone by the Centers for Medicare & Medicaid Services?
The Matthew Gambone has been issued the NPI (National Provider Identifier) 1104869478, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Matthew Gambone located?
The Matthew Gambone is located at 1810 116Th Ave Ne, Bellevue, WA 980043058.
What is Matthew Gambone's area of expertise and its corresponding taxonomy classification?
The Matthew Gambone's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Matthew Gambone receive the assignment of its 1104869478 from the Centers for Medicare & Medicaid Services?
The Matthew Gambone was issued its 1104869478 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date were the details related to Matthew Gambone most recently updated or revised?
The information pertaining to Matthew Gambone, including its address, specialty, and other relevant details, was last updated or revised on 2017-02-28.
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