Organization Active NPI

Thomas Mathias D.O.

  • Family Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1033658117
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0006027 Issued in FL
Legal business name
THOMAS MATHIAS D.O.
Practice address
6502 Park Blvd N
Pinellas Park, FL 33781-3142
Phone
(727) 541-5544
Fax
(727) 546-8142
NPI assigned
Feb 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Mrs. Stevie Mathias
Title
Practice Manager
Phone
(727) 541-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0006027 FL Primary

Addresses

Primary practice location

6502 Park Blvd N
Pinellas Park, FL 33781-3142

Mailing address

6502 Park Blvd N
Pinellas Park, FL 33781-3142
Phone (727) 541-5544

Other identifiers 1

IdentifierTypeStateIssuer
TI5B5OtherFLBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory
Tax ID family
Thomas E Mathias Dopa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1033658117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813142",
            "telephone_number": "727-541-5544",
            "fax_number": "727-546-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813142",
            "telephone_number": "727-541-5544",
            "fax_number": "727-546-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MATHIAS D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "STEVIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-541-5544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "TI5B5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.