Active NPI
Nelson Ramon Mather
- Certified Registered Nurse Anesthetist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 179260-4406
- Practice address
- 500 Foothill Blvd
Salt Lake City, UT 84148-0001 - Phone
- (801) 582-1565
- NPI assigned
- Sep 6, 2006
- Last updated
- Sep 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 179260-4406 | UT | Primary |
Addresses
Primary practice location
500 Foothill Blvd
Salt Lake City, UT 84148-0001
Mailing address
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 736-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 731-6142
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6149 | NC | MD | Psychologist |
| 179260-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Memorial Hospital Inc | Current | Accepting new patients | |
| Wayne Health Physicians | Current | Accepting new patients | |
| Wayne Memorial Hospital Inc | Current | Accepting new patients |
Locations
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
Organizations & group practices 3
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.
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
-
- Clinic/Center
- Goldsboro, NC
- NPI 1396978169
-
- Psychiatric Hospital Unit
- Goldsboro, NC
- NPI 1215105713
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568073600000",
"number": "1346343340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349494",
"telephone_number": "919-736-1110",
"fax_number": "919-587-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FOOTHILL BLVD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHER",
"first_name": "NELSON",
"middle_name": "RAMON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2019-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "179260-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.