Active NPI
James C Mathews, DO
- Internal Medicine Physician
- Butler, PA
National Provider Identifier
1477523140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS00666E
- Practice address
- 131 E Cunningham St
Butler, PA 16001 - Phone
- (724) 283-0212
- Fax
- (724) 283-2404
- NPI assigned
- Jan 25, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS00666E | PA | Primary |
Addresses
Primary practice location
131 E Cunningham St
Butler, PA 16001
Mailing address
131 E Cunningham St
Butler, PA 16001
Phone (724) 283-0212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149226101 | Medicaid | PA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090827000803 | PA | Practitioner - Internal Medicine | 2163577040 | Practice locations: Chicora, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS00666E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1477523140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E CUNNINGHAM ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "16001",
"telephone_number": "724-283-0212",
"fax_number": "724-283-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 E CUNNINGHAM ST",
"city": "BUTLER",
"state": "PA",
"postal_code": "16001",
"telephone_number": "724-283-0212",
"fax_number": "724-283-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS00666E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1149226101",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.