Individual provider Active NPI

Walter Mark Matthews, MD

  • Aerospace Medicine Physician
  • Clovis, NM
National Provider Identifier
1326035676
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
K2750 Issued in TX
Practice address
208 W Casablanca Cannon AFB
BLDG 1400 27 Medical Group
Clovis, NM 88103-5014
Phone
(505) 784-6608
Fax
(505) 784-6028
NPI assigned
Oct 3, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X K2750 TX Primary

Addresses

Primary practice location

208 W Casablanca Cannon AFB
BLDG 1400 27 Medical Group
Clovis, NM 88103-5014

Mailing address

208 W Casablanca Cannon AFB
BLDG 1400 27 Medical Group
Clovis, NM 88103-5014
Phone (505) 784-6608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2750TXMDAerospace Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326035676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W CASABLANCA CANNON AFB",
            "address_2": "BLDG 1400  27 MEDICAL GROUP",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "505-784-6608",
            "fax_number": "505-784-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CASABLANCA CANNON AFB",
            "address_2": "BLDG 1400  27 MEDICAL GROUP",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "505-784-6608",
            "fax_number": "505-784-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "WALTER",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "K2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.