Charles R. Mathis, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J3351 Issued in TX

Practice address

1001 N Waldrop Dr Ste 811
Arlington, TX 76012-4715

Phone

(817) 801-3092

Fax

(817) 801-3110

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  AL, TX

  Medicare reassignment NPD
• Robert Marriott Medical Corp

  • Surgery Physician
  • Beaumont, TX
  • NPI 1073064689
  NPD
• Arlington Wound Care and Hyperbaric Center LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Arlington, TX
  • NPI 1457914186
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1033115274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR STE 811",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124715",
            "telephone_number": "817-801-3092",
            "fax_number": "817-801-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR STE 811",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124715",
            "telephone_number": "817-801-3092",
            "fax_number": "817-801-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J3351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030320801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mathews Family Chiropractic, PLLC
• Jake Mathews
• Raymond F Mathews, D.C
• Sarah Mathews
• Glen Dale Mathia
• Irving Mathurin
• Matlock Emergency Physicians
• Matlock Family Clinic, P.a.
• Matlock Interventional Pain Center LLC
• Matlock Medical Center LLC

• Surgery Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.