Huntington Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01035103A Issued in IN

Legal business name

HUNTINGTON MEDICAL GROUP PC

Practice address

1601 N Jefferson St
Huntington, IN 46750-1404

Phone

(260) 356-4005

Fax

(260) 356-3501

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John C. Mathew, M.D.

Title

Owner

Phone

(260) 356-4005

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anupma Lal, MD

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1487600599
  NPD (past)
• Pekkakuzhiyil M Mathew, M.D.

  • Internal Medicine Physician
  • Bluffton, IN
  • NPI 1578507539
  NPD (past)
• Mollie McDaniel Mowery

  • Nurse Practitioner
  • Huntington, IN
  • NPI 1316343973
  NPD (past)
• Alison Lynn Hoffman, FNP

  • Family Nurse Practitioner
  • Huntington, NY
  • NPI 1598025702
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1467631945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N JEFFERSON ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501404",
            "telephone_number": "260-356-4005",
            "fax_number": "260-356-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N JEFFERSON ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501404",
            "telephone_number": "260-356-4005",
            "fax_number": "260-356-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-356-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01035103A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01053659A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200926830",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "110016196",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138210A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "110247671",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huntington County Community School Corportation
• Huntington County Community Schools
• Huntington Dental Group, P.C.
• Huntington Healthcare Associates LLC
• Huntington Home Health Solutions
• Huntington Memorial Hospital, Inc. (Parkview Huntington Hospital)
• Huntington Memorial Hospital, Inc. (Parkview Huntington Hospital)
• Huntington Nursing and Rehab LLC (Huntington Nursing and Rehab)
• Wilmer Iler, MD
• Indiana Detox II LLC

• Internal Medicine Physician in Huntington, IN
• Providers in Huntington, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.