Gloucester Mathews Care Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLOUCESTER MATHEWS CARE CLINIC

Doing business as

Gloucester Mathews Care Clinic

Practice address

6031 Industrial Dr
Gloucester, VA 23061-3767

Phone

(804) 210-1368

Fax

(804) 210-1369

NPI assigned

Oct 1, 2013

Organization subpart

No

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

Authorized official

Name

Arlene Armentor

Title

Executive Director

Phone

(804) 210-1368

Specialties & licenses 1

Addresses

Other names 1

• Gloucester Mathews Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Gloucester Mathews Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gloucester Mathews Care Clinic

  • Clinic Pharmacy
  • Gloucester, VA
  • NPI 1295740835
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16026/brand/1/csg/1/fhir/r4

Practitioners 4

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

• Robert Thomas Davis, M.D.

  • Internal Medicine Physician
  • Gloucester, VA
  • NPI 1285716712
  Medicare reassignment NPD
• Carol-Jo Osinski, FNP

  • Family Nurse Practitioner
  • Gloucester, VA
  • NPI 1538452164
  Medicare reassignment NPD
• Wayne J Reynolds, D.O.

  • Family Medicine Physician
  • Gloucester, VA
  • NPI 1851366173
  Medicare reassignment NPD
• Nicole Dunmire, RN

  • Administrator Registered Nurse
  • Gloucester, VA
  • NPI 1851274807
  NPD (past)

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1184051575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610684",
            "telephone_number": "804-210-1368",
            "fax_number": "804-210-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 INDUSTRIAL DR",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613767",
            "telephone_number": "804-210-1368",
            "fax_number": "804-210-1369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5690 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230613782",
            "country_code": "US",
            "telephone_number": "804-210-1368",
            "fax_number": "804-210-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLOUCESTER MATHEWS CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "ARMENTOR",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-210-1368"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloucester Mathews Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Geyer
• Meghan Gildow, CNM
• Lori King Gillespie, M.D.
• Katherine Gilman, LCSW
• Gloucester County Public Schools
• Gloucester Mathews Care Clinic
• Gloucester Ophthalmic Associates, Inc
• Gloucester Orthopaedic Clinic P C (York River Orthopaedics & Sports Medicine)
• Gloucester Pediatrics, PC
• Gloucester Volunteer Fire and Rescue Squad, Inc.

• Clinic/Center in Gloucester, VA
• Providers in Gloucester, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.