Active NPI
Cory Michael Mathias, DO
- Family Medicine Physician
- Smethport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1288
- Practice address
- 406 Franklin St
Smethport, PA 16749-1277 - Phone
- (814) 887-5655
- Fax
- (814) 887-1911
- NPI assigned
- May 7, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1288 | NE | Primary |
Addresses
Primary practice location
406 Franklin St
Smethport, PA 16749-1277
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bradford Regional Medical Center
Practice addresses (Care Compare)
116 Interstate Pkwy
Bradford, PA 16701-1036
406 Franklin St
Smethport, PA 16749-1277
Phone (814) 887-5655
Hospital & facility affiliations
- Vna of Northwest PA, LLC
- Family Hospice
- Olean General Hospital
- Upmc Cole
- Upmc Kane
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1288 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olean General Hospital | Current | Accepting new patients | |
| Olean General Hospital | Family Medicine | Current | Accepting new patients |
| Olean General Hospital | Family Medicine | Current | Accepting new patients |
Locations
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674
200 Pleasant St
Bradford, PA 16701
Phone (814) 362-8293
406 Franklin St
Smethport, PA 16749
Phone (814) 887-5655
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 and National Provider Directory roles.
-
- General Practice Physician
- Bradford, PA
- NPI 1649296781
-
- Family Medicine Physician
- Bradford, PA
- NPI 1245502905
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Bradford, PA
- NPI 1114343720
Home health agency
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital
-
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
-
- Community Based Hospice Care Agency
- Williamsport, PA
- NPI 1134614621
-
- Critical Access Hospital
- Kane, PA
- NPI 1588416382
-
- General Acute Care Hospital
- Kane, PA
- NPI 1861478307
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1467897215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "933-953-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 FRANKLIN ST",
"city": "SMETHPORT",
"state": "PA",
"postal_code": "167491277",
"telephone_number": "814-887-5655",
"fax_number": "814-887-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIAS",
"first_name": "CORY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-07",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smethport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.