Active NPI
Donald Wayne Mathis
- Athletic Trainer
- Salisbury, MD
National Provider Identifier
1003373739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1101 Camden Ave
Salisbury, MD 21801-6837 - Phone
- (443) 669-4660
- NPI assigned
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1101 Camden Ave
Salisbury, MD 21801-6837
Mailing address
1835 Mount Hermon Rd
Salisbury, MD 21804-9414
Phone (443) 669-4660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1003373739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 MOUNT HERMON RD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218049414",
"telephone_number": "443-669-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CAMDEN AVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218016837",
"telephone_number": "443-669-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "DONALD",
"middle_name": "WAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Nimmy Mathew
- Margaret Eileen Matlack, PH.D.
- Monserrat Abigail Matos, LCSW-C
- Grace Elaine Matthews, RN, CRNP
- Kristina Marie Matthews, PA-C
- Joy Maulik, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.