William Russell Mathis III

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

15600 19 Mile Rd
Clinton Township, MI 48038-3502

Phone

(586) 263-8700

NPI assigned

Dec 4, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1477329118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 1/2 CROCKER BLVD FL 2",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432507",
            "telephone_number": "586-850-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 19 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383502",
            "telephone_number": "586-263-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "WILLIAM",
        "middle_name": "RUSSELL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneka Massey
• Andreana Irene Masters, DDS
• Briget Paulsen Matecki, D.O.
• Rachel E. Mateski, P.A.
• Angelique N Mathews
• Abbie Matles, PA-C
• Courtney Dawn Matney, FNP
• Jeffrey John Mattar, D.C.
• Asia Naomi Matthew-Onabanjo, MD, PHD
• William Robert Matthews, M.A., L.P.C.

• Case Manager/Care Coordinator in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.