Thomas K Mathew, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

032919 Issued in MI

Practice address

1245 Berkshire CT
Adrian, MI 49221-1367

Phone

(517) 265-9396

Fax

(517) 265-9396

NPI assigned

Jul 15, 2007

Last updated

Jul 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Monroe Urology Associates PLLC

  • Urology Physician
  • Monroe, MI
  • NPI 1730376955
  NPD (past)

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1043419591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 BERKSHIRE CT",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211367",
            "telephone_number": "517-265-9396",
            "fax_number": "517-265-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 BERKSHIRE CT",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211367",
            "telephone_number": "517-265-9396",
            "fax_number": "517-265-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "032919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "3407869482",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368616",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryana Marie Martinez
• Madison Mae Martinez, BSW
• Darryl J Martins, DPM
• Mark A Mastellotto, DDS
• Sunny Rae Masterton, RPH
• Scott Mathew Mattern
• Danyelle Matthews
• Maverick Spirits LLC
• Jon Michael Maxwell, MD
• Yashica Maxwell, LLMSW, LCSW, LICSW

• Urology Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.