Matthew Wayne Radzom

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

40 Duke Medicine Cir # 2K
Durham, NC 27710-4000

Phone

(919) 391-8063

NPI assigned

Feb 2, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1952007882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TWIN BRANCHES WAY APT 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065227",
            "telephone_number": "919-391-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIR # 2K",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277104000",
            "telephone_number": "919-391-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZOM",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Allan Radtke, M.D.
• Spenser Radtke, LCSWA
• Patricia Maggie Radu
• Haneen Hamdy Radwan, OTR/L
• Omnia Radwan
• Amber Rafferty
• Corina Brooke Raffish
• Melissa Anne Rafidi
• Chad Ragains
• Janet Ragains

• Clinical Exercise Physiologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Exercise Physiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.