Craig M. Matherne, M.D., a.P.M.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

13221R Issued in LA

Legal business name

CRAIG M. MATHERNE, M.D., A.P.M.C.

Practice address

3521 Highway 190
Suite P
Eunice, LA 70535-5135

Phone

(337) 457-8040

Fax

(337) 457-8043

NPI assigned

Apr 19, 2010

Last updated

Feb 5, 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. Craig Michael Matherne, M.D.

Title

Owner

Phone

(337) 457-8040

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1285950063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190",
            "address_2": "SUITE P",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355135",
            "telephone_number": "337-457-8040",
            "fax_number": "337-457-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 HIGHWAY 190",
            "address_2": "SUITE P",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705355135",
            "telephone_number": "337-457-8040",
            "fax_number": "337-457-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG M. MATHERNE, M.D., A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "MATHERNE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-457-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "LA",
            "license": "13221R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558729",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "DR4154",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Robert Andrew Davee, MD
• David B. Ware, M.D., a.P.M.C.
• Alyssa Deville, M.S., CCC-SLP, CLC
• Joseph Claude Devillier, MSW, LCSW
• Dialysis Clinic Inc.

• Legal Medicine in Eunice, LA
• Providers in Eunice, LA by specialty
• Legal Medicine in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.