Monica Mathur, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003278M Issued in OH

Practice address

36752 Cranlyn Ter
Avon, OH 44011-3481

Phone

(216) 926-2160

Fax

(440) 937-8334

NPI assigned

Feb 12, 2006

Last updated

Sep 27, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4

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.

• Michigan Primary Care Partners P C

  dba West Michigan Pain

  • Internal Medicine Physician
  • Big Rapids, MI
  • NPI 1366497380
  NPD (past)

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1396718003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36752 CRANLYN TER",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440113481",
            "telephone_number": "216-926-2160",
            "fax_number": "440-937-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36752 CRANLYN TER",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440113481",
            "telephone_number": "216-926-2160",
            "fax_number": "440-937-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHUR",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-12",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003278M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305633",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4553650001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Marshall, CCMA
• Corinne Martin, RBT
• Ellen Mary Martin
• Sharlene Marty, D.D.S.
• Abby Maruskin
• Charlene Matus
• Jasmine Mauricio
• Shana McCormick, SLP
• Charissa Katzan McCune
• Melissa McCutcheon, LPCC

• Podiatrist in Avon, OH
• Providers in Avon, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.