Mathew Bush, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN127213.MEDS Issued in PA

Practice address

3120 W Market St
Warren, OH 44485-3069

Phone

(330) 898-6992

NPI assigned

Feb 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1194265991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HIGH ST NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811222",
            "telephone_number": "330-394-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853069",
            "telephone_number": "330-898-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MATHEW",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "LPN127213.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ratosha Shatea Burney, LPN
• David Warren Burnside
• Courtni Burton
• Kevin Patrick Busefink, RPH
• Mark Alan Bush, LPC
• Natisha Bush
• Jared Butcher, LPN
• Nevaeh Leegh Butera
• Ester Mae Butler
• Julie Button

• Licensed Practical Nurse in Warren, OH
• Providers in Warren, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.