Individual provider · Type 1 NPI

Matthew William Shore, MD

Pediatric Radiology Physician · Madison, WI

NPI number 1669814737 Active

Practice location

Uw Hospital And Clinics, 600 Highland Ave, H4/831
Madison, WI 53792-0001

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Other practice locations

  • 8915 W Connell Ave Dept Of, Milwaukee, WI 53226-3067 · (414) 266-2523
  • 1000 N Westmoreland Road, Radiology Department, Lake Forest, IL 60045 · (847) 234-5600

Specialties and licenses

TaxonomyCodeLicense
Nuclear Imaging & Therapy Physician 207UN0902X62883-20 (WI)
Diagnostic Radiology Physician 2085R0202X62883-20 (WI)
Diagnostic Radiology Physician 2085R0202X036-150688 (IL)
Pediatric Radiology Physician Primary 2085P0229X62883-20 (WI)

Pediatric Radiology Physician: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital…

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About NPI 1669814737

Matthew William Shore, MD's National Provider Identifier is 1669814737, issued on Jul 18, 2013. The primary taxonomy on file is Pediatric Radiology Physician (2085P0229X), and the practice location is in Madison, WI. The record was last updated on Jan 8, 2024.