Mathew P Cherian

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

41216 Issued in AZ

Practice address

6121 Kipps Colony Dr W
Gulfport, FL 33707-3969

Phone

(305) 389-5893

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1013176981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 KIPPS COLONY DR W",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073969",
            "telephone_number": "305-389-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 KIPPS COLONY DR W",
            "city": "GULFPORT",
            "state": "FL",
            "postal_code": "337073969",
            "telephone_number": "305-389-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "MATHEW",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AZ",
            "license": "41216",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos a Labrador Mdpa
• Mary Carnal
• Yamelky Castro Estivez, APRN
• Brian Caswell, A.P.
• Center for Human Potential, P.a.
• Nicholas Robert Chiappone, PMHNP-BC
• Harriet Cohen
• Jacqueline Sue Colunga, LCSW
• Maria Culp
• Demekisa Sidamo Davis, D.O.M.

• Adult Medicine Physician in Gulfport, FL
• Providers in Gulfport, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.