Individual provider Active NPI

James Earl Mattey, MD

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1346336468
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DOO36769 Issued in MD
Practice address
5612 Spruce Tree Ave
Bethesda, MD 20814-1626
Phone
(301) 564-5880
Fax
(301) 564-5889
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DOO36769 MD Primary

Addresses

Primary practice location

5612 Spruce Tree Ave
Bethesda, MD 20814-1626

Mailing address

5612 Spruce Tree Ave
Bethesda, MD 20814-1626
Phone (301) 564-5880

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
DOO36769MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Care Center Pediatrics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346336468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 SPRUCE TREE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141626",
            "telephone_number": "301-564-5880",
            "fax_number": "301-564-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 SPRUCE TREE AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141626",
            "telephone_number": "301-564-5880",
            "fax_number": "301-564-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEY",
        "first_name": "JAMES",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "DOO36769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.