O L Matthews MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

O L MATTHEWS MD PC

Practice address

29201 Telegraph Rd Ste 400
Southfield, MI 48034-7647

Phone

(248) 949-9888

Fax

(248) 325-5998

NPI assigned

Mar 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. O L Matthews, M.D.

Title

Physician

Phone

(248) 949-9888

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Annapolis Medical Specialty Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• O L Matthews, MD

  • Cardiovascular Disease Physician
  • Southfield, MI
  • NPI 1225096050
  Medicare reassignment NPD
• Eric James Richardson, D.D.S., M.S.

  • Endodontics
  • Southfield, MI
  • NPI 1407011034
  NPD (past)

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1295975233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347647",
            "telephone_number": "248-949-9888",
            "fax_number": "248-325-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347647",
            "telephone_number": "248-949-9888",
            "fax_number": "248-325-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O L MATTHEWS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "O L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-949-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MI PIN",
            "identifier": "0608226582",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805767",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Annapolis Medical Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Annapolis Medical Specialty Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rubby Nwonye, RHIT
• Udodirim Nwosu
• Anna Grace Nyberg
• Jennifer Nyberg, LMSW
• Jonathan Kyulu Nzoma, DO
• O P Hospice, Inc.
• Antilishia O'Bannon, CRANIAL PROSTHESIS
• Christina Anne O'Brien, M.S., CRNA
• Alicia O'Connor
• Jeffrey Lawrence O'Connor, M.D.

• Cardiovascular Disease Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.