Jean Ann Mathis, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

08422R Issued in LA

Practice address

6000 Westbank Expy
Marrero, LA 70072-2802

Phone

(504) 827-1722

Fax

(504) 827-1724

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

Yes

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jean.mathis.1@17106.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Common Ground Health Clinic

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1801216767
  NPD (past)
• Optima Eye Care, LLC

  • Ophthalmology Physician
  • Harvey, LA
  • NPI 1891953980
  NPD (past)
• Eyedeal Eyecare II PLLC

  • Optometrist
  • London, KY
  • NPI 1699726497
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1336191378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722802",
            "telephone_number": "504-827-1722",
            "fax_number": "504-827-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722802",
            "telephone_number": "504-827-1722",
            "fax_number": "504-827-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "08422R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1981141",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000077108",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thalia Martinez
• Patricia Ann Mason, PGSW
• Robert Dennis Matheney, MD
• Karl David Matherne, RPH
• Renee Lynn Matherne, M.ED CCC-SLP
• Nihar Mathur
• Shaina Matthews, FNP
• Monica Cheree Mayberry, B.A, MAT
• Andrew P Mayer, MD
• Anna Ruth Mayronne

• Obstetrics & Gynecology Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.