Active NPI
Joseph D Mathias
- Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 60191202
- Practice address
- 2525 NE 139TH St
Vancouver, WA 98686-2719 - Phone
- (360) 882-2778
- Fax
- (360) 604-1697
- NPI assigned
- Jan 4, 2011
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 60191202 | WA | Primary |
Addresses
Primary practice location
2525 NE 139TH St
Vancouver, WA 98686-2719
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778
2529 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60191202 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| The Vancouver Clinic Inc PS | Past | Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients | |
| Westsound Orthopaedics, PS | Past | Accepting new patients |
Locations
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
2529 NE 139th St
Ste 220
Vancouver, WA 98686
2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500
Interoperability endpoints
- jmathias6504@tvc-direct.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
-
- Eyewear Supplier
- Ridgefield, WA
- NPI 1760004477
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1104923655
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342396800000",
"number": "1023312170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 NE 87TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641913",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 NE 139TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862719",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "JOSEPH",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2012-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA 60191202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.