Active NPI
Matthew S Hauswald, PA-C
- Physician Assistant
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10004917
- Practice address
- 4225 Hoyt Ave Ste D
Everett, WA 98203-2351 - Phone
- (425) 317-8025
- NPI assigned
- Aug 10, 2006
- Last updated
- Apr 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10004917 | WA | Primary |
Addresses
Primary practice location
4225 Hoyt Ave Ste D
Everett, WA 98203-2351
Mailing address
4225 Hoyt Ave Ste D
Everett, WA 98203-2351
Phone (425) 317-8025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8445389 | Medicaid | WA | |
| 204684 | Other | WA | WORK COMP |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12039 NE 128TH St
Kirkland, WA 98034-3029
12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907
Phone (425) 821-4040
12800 Bothell Everett Hwy
Everett, WA 98208-6642
14720 Main St NE
Suite 109
Duvall, WA 98019-8460
Phone (425) 788-4889
14841 179TH Ave SE
Monroe, WA 98272-1127
16916 140TH Ave NE
Woodinville, WA 98072-6957
18151 68TH Ave NE
Suite 100
Kenmore, WA 98028-2835
Phone (425) 485-6561
1909 214TH St SE
Suite 110
Bothell, WA 98021-4412
Phone (425) 488-4988
19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-7994
4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330
4220 132ND St SE
Suite 103
Mill Creek, WA 98012-8999
Phone (425) 225-1210
8980 161St Ave NE
Redmond, WA 98052-7554
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10004917 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Western Washington Medical Group, Inc PS | Current | Accepting new patients | |
| Cep America LLC | Physician Assistant | Current | Accepting new patients |
| Providence Health & Services - Wa | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000
7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116
4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122
4225 Hoyt Ave
Ste D
Everett, WA 98203
Phone (425) 258-3622
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- mhauswald1041862@wm.providencedirect.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
dba Vituity
- Emergency Medicine Physician
- Edmonds, WA
- NPI 1447484274
Physician Assistant
-
dba WWMG Department of Psychiatry
- Psychiatry Physician
- Everett, WA
- NPI 1396413803
-
dba EvergreenHealth Medical Group Snohomish County
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
dba EvergreenHealth Medical Group King County
- Clinic/Center
- Redmond, WA
- NPI 1750612883
-
dba Providence Physician Group Harbour Pointe Cardiology
- Cardiovascular Disease Physician
- Mukilteo, WA
- NPI 1669616363
-
dba Whitehorse Family Medicine
- Family Medicine Physician
- Arlington, WA
- NPI 1134460959
-
dba Western Washington Medical Group Dept of Infectious Disease
- Infectious Disease Physician
- Everett, WA
- NPI 1427816305
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba EvergreenHealth Medical Center
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
dba EvergreenHealth Monroe
- General Acute Care Hospital
- Monroe, WA
- NPI 1013074061
-
dba EvergreenHealth Monroe Recovery Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1396756011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 HOYT AVE STE D",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032351",
"telephone_number": "425-317-8025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 HOYT AVE STE D",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032351",
"telephone_number": "425-317-8025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSWALD",
"first_name": "MATTHEW",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10004917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8445389",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "204684",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.