MEDICARE: MATTHEW DANIEL SHAPIRO CCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	242T00000X	Perfusionist

General Provider Information

NPI Number	:	1609738244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW DANIEL SHAPIRO CCP

Provider Business Mailing Address
First Line	:	4013 2ND AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-4916
Country	:	US
Telephone Number	:	339-364-9655
Fax Number	:

Provider Business Practice Location Address
First Line	:	23625 HOLMAN HWY
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-5902
Country	:	US
Telephone Number	:	831-624-5311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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