Matthew White MD PS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MATTHEW WHITE MD PS

Practice address

5920 100TH St SW Ste 30
Lakewood, WA 98499-2751

Phone

(253) 584-1700

Fax

(253) 581-1740

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Matthew White

Title

Owner

Phone

(253) 584-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ann E Hyder, ARNP

  • Nurse Practitioner
  • Tacoma, WA
  • NPI 1477641496
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1275713299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE 30",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-584-1700",
            "fax_number": "253-581-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE 30",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-584-1700",
            "fax_number": "253-581-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW WHITE MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-584-1700"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7107741",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mastercare Senior Living Solutions, LLC
• Godofredo L Mateo, MD
• Stephanie Paule Matison
• Cindy Ha Vo Matta
• Robert Michael Matta
• Gayle Matthews, M.D.
• Michael Matthews
• Shanie Matthews
• Aaron Robert Matthias, BA
• Alisa M Mattiazzi, LICSW

• Family Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.