Active NPI
Matthew Bernard Studer
- Otolaryngology Physician
- Longview, WA
National Provider Identifier
1578040366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 70074236
- Practice address
- 625 9TH Ave Ste 120
Longview, WA 98632-2465 - Phone
- (360) 636-4469
- Fax
- (360) 425-4970
- NPI assigned
- Jul 24, 2018
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 70074236 | WA | Primary |
Addresses
Primary practice location
625 9TH Ave Ste 120
Longview, WA 98632-2465
Mailing address
100 Woodruff Cir NE Ste P375
Atlanta, GA 30322-1020
Phone (404) 727-5655
Other practice location 1
505 NE 87th Ave Ste 260
Vancouver, WA 98664-1965
Phone (360) 256-4425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210810003850 | OR | Order and Referring Only - Otolaryngology | 8628472826 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1578040366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOODRUFF CIR NE STE P375",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221020",
"telephone_number": "404-727-5655",
"fax_number": "404-727-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 9TH AVE STE 120",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322465",
"telephone_number": "360-636-4469",
"fax_number": "360-425-4970"
}
],
"practiceLocations": [
{
"address_1": "505 NE 87th Ave Ste 260",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986641965",
"country_code": "US",
"telephone_number": "360-256-4425",
"fax_number": "360-256-2474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUDER",
"first_name": "MATTHEW",
"middle_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-24",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WA",
"license": "70074236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.