Matthew Gambone, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10003733 Issued in WA

Practice address

1810 116TH Ave NE
Suite D
Bellevue, WA 98004-3058

Phone

(425) 455-2131

Fax

(425) 455-2335

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia County Hospital DistrictGroup PAC ID 5597653758, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbia County Hospital District

  • Critical Access Hospital
  • Dayton, WA
  • NPI 1134128911
  Medicare reassignment Care Compare group
• Columbia County Hospital District

  • Rural Health Clinic/Center
  • Waitsburg, WA
  • NPI 1215018346
  NPD
• Columbia County Hospital District

  • Primary Care Clinic/Center
  • College Place, WA
  • NPI 1851050264
  NPD
• DRX Wa Urgent Care Providers PLLC

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1487083713

  Physician Assistant

  NPD
• North Kitsap Family Practice and Urgent Care P.S.

  • Family Medicine Physician
  • Poulsbo, WA
  • NPI 1447304449
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1104869478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 116TH AVE NE",
            "address_2": "SUITE D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043058",
            "telephone_number": "425-455-2131",
            "fax_number": "425-455-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 116TH AVE NE",
            "address_2": "SUITE D",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043058",
            "telephone_number": "425-455-2131",
            "fax_number": "425-455-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBONE",
        "first_name": "MATTHEW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391507",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Galvez
• Melissa Galvez, LICSWA
• Azucena Gamarra, RD
• Glenn D. Gamble, N.D., L.AC.
• Giselle Gamblin
• Gamerica Healthcare LLC
• Paul E Gamman, DC
• David James Gamrath, DO
• CHI Meng Gan, M.D.
• Yanjun Gan, DDS

• Physician Assistant in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.