Ethan James Matthew, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

19102A Issued in WY

Practice address

6631 E 2ND St Ste 100
Casper, WY 82609-4355

Phone

(307) 243-1155

Fax

(307) 243-1199

NPI assigned

Mar 29, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Dermatology

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Casper, WY
  • NPI 1851223432
  NPD (past)

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1336889559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 E 2ND ST STE 100",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094355",
            "telephone_number": "307-243-1155",
            "fax_number": "307-243-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012905",
            "country_code": "US",
            "telephone_number": "307-266-2772",
            "fax_number": "307-266-2076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Center St",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826332446",
            "country_code": "US",
            "telephone_number": "307-243-1477",
            "fax_number": "307-243-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "ETHAN",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WY",
            "license": "19102A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne E Massey
• Jami Massey, M.S., CCC-SLP
• Dama Wimbish Matchett, LMFT
• Diane Kenton Mattern, NURSE PRACTITIONER
• Matthew Dodds
• Jane Elizabeth Matthews, M.S., P.P.C.
• Katheryn Louise Matthews, MSW, PCSW
• Paul G Matz, MD
• Cody Drew Mauldin, DPT
• Jessica Meenoo Mauldin, FNP-C

• Dermatology Physician in Casper, WY
• Providers in Casper, WY by specialty
• Dermatology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.