Mathew Ciechan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24247 Issued in GA

Practice address

3940 Washington Rd
Martinez, GA 30907-5247

Phone

(706) 868-5650

Fax

(706) 868-0675

NPI assigned

Sep 29, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in GA

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St. Joseph Hospice, LLC

  • Community Based Hospice Care Agency
  • Augusta, GA
  • NPI 1275836082

  Contracted Managing Employee

  CMS ownership

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.

• Robert B. Rhoades MD, PC

  • Allergy Physician
  • Martinez, GA
  • NPI 1962471516

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366534166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 WASHINGTON RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075247",
            "telephone_number": "706-868-5650",
            "fax_number": "706-868-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 WASHINGTON RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075247",
            "telephone_number": "706-868-5650",
            "fax_number": "706-868-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIECHAN",
        "first_name": "MATHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "24247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00250764L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Mae Chaplin, MA, RD, LD
• Audrey May Charlson
• Child Neuro Health and Wellness Center
• Child Neurobehavioral Center for Health & Wellness, PC
• Brionna Chisolm
• Michele L. Claeys, D.M.D.
• Claytons Angels LLC
• Sharon Jean Cleveland, L.M.T.
• Melissa Cohen, PHARM. D.
• Aaron B Cohrs, PT

• Family Medicine Physician in Martinez, GA
• Providers in Martinez, GA by specialty
• Family Medicine Physician in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.