R Eric Mathews, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD036880E Issued in PA

Legal business name

R ERIC MATHEWS, M.D.

Practice address

795 Cherry Tree CT
Ste 3
Hanover, PA 17331-7900

Phone

(717) 633-6644

Fax

(717) 633-6044

NPI assigned

May 16, 2008

Last updated

May 16, 2008By 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. Raymond Eric Mathews, M.D.

Title

Owner

Phone

(717) 633-6644

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1194982314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 CHERRY TREE CT",
            "address_2": "SUITE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317900",
            "telephone_number": "717-633-6644",
            "fax_number": "717-633-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 CHERRY TREE CT",
            "address_2": "STE 3",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317900",
            "telephone_number": "717-633-6644",
            "fax_number": "717-633-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R ERIC MATHEWS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-633-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD036880E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011879600004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hanover, PA
• Providers in Hanover, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.