Mathes Podiatry LTD.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016-002942 Issued in IL

Legal business name

MATHES PODIATRY LTD.

Practice address

15931 S Bell Rd
Homer Glen, IL 60491-6707

Phone

(708) 301-3080

Fax

(708) 301-6198

NPI assigned

Mar 11, 2013

Last updated

Sep 23, 2013By 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. Kathleen D. Mathes, DPMNPI 1669496550

Title

Owner

Phone

(708) 301-3080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mathes Podiatry LTD.

  • Podiatrist
  • Homer Glen, IL
  • NPI 1689913337

  O20130717000813

  Same enrollment

Locations

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.

• Kathleen D. Mathes, DPM

  • Primary Podiatric Medicine Podiatrist
  • Homer Glen, IL
  • NPI 1669496550
  NPD Authorized official

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1255672697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15931 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-301-3080",
            "fax_number": "708-301-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15931 S BELL RD",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916707",
            "telephone_number": "708-301-3080",
            "fax_number": "708-301-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHES PODIATRY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "MATHES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-301-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016-002942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malaika Health and Care (Malaika Health and Care LLC)
• Jamie Marie Mallek, MSOT OTR/L
• Marianjoy at Providence Victorian Village
• Mary Ellen Hoye DDS LLC
• Kathleen Gael Matay, RN
• Mathes Podiatry LTD.
• Kathleen D. Mathes, DPM
• Matthew Peahl DC SC (Iihhs)
• Nicole H Mayer, DPT
• Richard William McCarthy, D.C.

• Podiatrist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.