Rodney Shigeo Matsubara, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00045564 Issued in WA

Practice address

3417 Ensign Road NE
Olympia, WA 98506-5075

Phone

(360) 493-4600

Fax

(360) 493-4603

NPI assigned

Jan 19, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kennewick Public Hospital District

  • Home Health Agency
  • Kennewick, WA
  • NPI 1184797433
  NPD (past)
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  NPD (past)
• South Sound Radiology Aberdeen LLC

  • Diagnostic Radiology Physician
  • Aberdeen, WA
  • NPI 1194819086
  NPD (past)
• Hawaii Radiologic Associates, LTD.

  • Diagnostic Radiology Physician
  • Hilo, HI
  • NPI 1174679443
  NPD (past)
• Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT

  • Diagnostic Radiology Physician
  • Englewood, CO
  • NPI 1336188234
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1780664482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 ENSIGN ROAD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065075",
            "telephone_number": "360-493-4600",
            "fax_number": "360-493-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 ENSIGN ROAD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065075",
            "telephone_number": "360-493-4600",
            "fax_number": "360-493-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUBARA",
        "first_name": "RODNEY",
        "middle_name": "SHIGEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00045564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8444259",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Mather, GC
• Sherice Renee Mathers, LMP
• Janat Mathew, OD
• Brandon Mathews
• Michael L Matlock, M.D.
• Benjamin Craig Matthews, ARNP
• David Lee Matthews, M.D.
• Maughan Prosthetic & Orthotic South, Inc.
• Megan Mauldin, BS
• Kai A Maulding, D.D.S.

• Diagnostic Radiology Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.