Mathis T. Adams M.D.,P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L4842 Issued in TX

Legal business name

MATHIS T. ADAMS M.D.,P.A.

Practice address

214 SW 26TH Ave Ste a
Mineral Wells, TX 76067-8249

Phone

(940) 325-7064

NPI assigned

Oct 4, 2007

Last updated

Oct 23, 2007By 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

Mathis Taylor Adams, M.D.,P.A.

Title

Physician

Phone

(940) 325-7064

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mathis T. Adams, MD PA

  • Surgery Physician
  • Mineral Wells, TX
  • NPI 1124052022
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1124216049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE STE A",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 SW 26TH AVE STE A",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678249",
            "telephone_number": "940-325-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHIS T. ADAMS M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MATHIS",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "940-325-7064",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L4842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0034LN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katarina Lindley, D.O.
• Leslie Dee Lopez
• Love and Merritt LLC
• Kimberly Malley, CRNA
• Sara Masterson, LCSW
• Kayme McIntosh, APRN, AGNP-C
• Jeffery W McKamey, CRNA
• Tyler Brandon McLemore, OD
• Colleen McNicholas-Hendrix, NP
• Meals on Wheels of Palo Pinto County, Inc.

• Surgery Physician in Mineral Wells, TX
• Providers in Mineral Wells, TX by specialty
• Surgery Physician in Texas

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