Gary Mathews, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24441 Issued in OK

Practice address

718 Avenue a
Beaver, OK 73932-3101

Phone

(580) 625-3477

Fax

(580) 625-3562

NPI assigned

Jan 24, 2006

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1336119247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739320640",
            "telephone_number": "580-625-3477",
            "fax_number": "580-625-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 AVENUE A",
            "city": "BEAVER",
            "state": "OK",
            "postal_code": "739323101",
            "telephone_number": "580-625-3477",
            "fax_number": "580-625-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "1124441",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200058570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guymon Physical Therapy and Wellness PLLC (Beaver Therapy and Wellness)
• High Plains Hospice, LLC.
• High Plains Medical Specialists LLC
• Ashley Nicole Johnston, APRN
• Scotty King, APRN, FNP-C
• Sara Dawn Morris, PTA
• Francesca Chinwe Osegbue-Obasi, M.D.
• Roy Kent Rogers, PA-C
• James E Scalia Jr., PA-C
• Lynnetta Faye Stout, APRN-CNP

• Family Medicine Physician in Beaver, OK
• Providers in Beaver, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.