NPIMap

Organization Active NPI

Matthew Oncology Associates

  • Hematology & Oncology Physician
  • Sheboygan, WI
National Provider Identifier
1295791002
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MATTHEW ONCOLOGY ASSOCIATES
Practice address
1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081
Phone
(920) 458-7433
Fax
(920) 452-3594
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Mrs. Nancy Ogden, RN OCN
Title
Clinic Coordinator
Phone
(920) 458-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081

Mailing address

1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081
Phone (920) 458-7433

Other identifiers 1

IdentifierTypeStateIssuer
21270600MedicaidWI

National Provider Directory

National Provider Directory

Locations

1621 N Taylor Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 458-7433

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1295791002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "address_2": "SUITE 100",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-458-7433",
            "fax_number": "920-452-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "address_2": "SUITE 100",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-458-7433",
            "fax_number": "920-452-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "920-458-7433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN OCN"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21270600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.