Alvin Mathew, DO, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4420 Issued in AZ

Legal business name

ALVIN MATHEW, DO, LLC

Practice address

18275 N 59TH Ave
St 138
Glendale, AZ 85308-1260

Phone

(602) 564-0078

Fax

(602) 564-1154

NPI assigned

Dec 5, 2007

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alvin Mathew, DO

Title

Pressident

Phone

(480) 812-5589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1083897623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "ST 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE",
            "address_2": "ST 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081260",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN MATHEW, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PRESSIDENT",
        "authorized_official_telephone_number": "480-812-5589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "4420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.