Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Owen Heisel, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1801030077

Matthew Owen Heisel, MD is a Pediatric Medicine in Tacoma, Washington. Qualified in 2009, 17 years ago. Licensed in Nebraska.

Years since qualifying
17
Licensed in
NE
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-3885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 25968 (NE)
Pediatrics Physician Taxonomy 208000000X · Licence 25968 (NE)

Record details

NPI number1801030077
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2009
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing addressMadigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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