Marion J Mathews MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME26212 Issued in FL

Legal business name

MARION J MATHEWS MD PA

Practice address

114 Airport Rd Ste C
Panama City, FL 32405-4738

Phone

(850) 769-6105

NPI assigned

Oct 16, 2005

Organization subpart

No

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

Authorized official

Name

Marion J Mathews, MDNPI 1134315823

Title

President

Phone

(850) 769-6105

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Oaks Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marion J Mathews, MD

  • Family Medicine Physician
  • Panama City, FL
  • NPI 1134315823
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1129420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1063401701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 FEROL LN",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443213",
            "telephone_number": "850-769-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 AIRPORT RD STE C",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054738",
            "telephone_number": "850-769-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION J MATHEWS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-16",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-769-6105",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME26212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLORIDA",
            "identifier": "03345",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "GROUP # CM0583",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AH625",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE-BLUE CROSS/BLUE SHIELD",
            "identifier": "3LSHB",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oaks Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oaks Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justo Maqueira Jr., M.D.
• Courtney Connor Maraziti, APRN
• Peter A Marco, M.D.
• Natalie Yvonne Marcum
• Marina Pointe Dental PLLC
• Mariusz J Klin M D P a
• Mark D. White D.C. P.a.
• Allen Dale Marks, LMHC
• Sarah Markwood
• Diane Suzette Marshall, LMHC

• Family Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.