Patricia Matheis, MD, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20041014 Issued in NC

Legal business name

PATRICIA MATHEIS, MD, PC

Practice address

2824 Rogers Rd
Suite 101
Wake Forest, NC 27587-3895

Phone

(919) 488-0355

Fax

(919) 488-0358

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Patricia A Matheis, MDNPI 1740385061

Title

Owner

Phone

(919) 488-0355

Specialties & licenses 1

Addresses

Other names 1

• Wake Forest Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Patricia Ann Matheis, M.D.

  • Specialist
  • Wake Forest, NC
  • NPI 1740385061
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1154565596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 ROGERS RD",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873895",
            "telephone_number": "919-488-0355",
            "fax_number": "919-488-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 ROGERS RD",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873895",
            "telephone_number": "919-488-0355",
            "fax_number": "919-488-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA MATHEIS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "MATHEIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-488-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "20041014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake Forest Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenita Partridge, M.D.
• Ami Patel, PHARMD
• Fevil Patel, PHARMD
• Jignya Patel, PT
• Sanjay D Patel, M.D.
• Linda Diane Patrone, FNP
• Kimberley Pavlak, LCMHC, LCAS
• Leslie Payne, MSW, LCSWA
• PC Consultants
• Megan Evans Pearce

• Dermatology Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.