Thor Christian Mathos, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S005806L Issued in PA

Practice address

8775 Norwin Ave
North Huntingdon, PA 15642-2718

Phone

(855) 765-7277

Fax

(724) 863-0046

NPI assigned

Mar 16, 2006

Last updated

Jan 12, 2017By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: tmathos@direct.excelahealth.org

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1447229034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 JEFFERSON AVE",
            "address_2": "SUITE 400",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442538",
            "telephone_number": "724-527-8060",
            "fax_number": "724-522-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 NORWIN AVE",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422718",
            "telephone_number": "855-765-7277",
            "fax_number": "724-863-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHOS",
        "first_name": "THOR",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S005806L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011308230005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle Marie Marsh-Slavin, NURSE PRACTITIONER
• Marston Psychological Services
• Daniel Curtiss Marston, PHD
• Brian Patrick Matthews, PHARMD.
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• Christopher Mathew McBriar, O.D.
• Tammy McClafferty, PTA

• Family Medicine Physician in North Huntingdon, PA
• Providers in North Huntingdon, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.