Organization Active NPI

James K. Matheson, DO, LLC

  • Obstetrics & Gynecology Physician
  • Vermilion, OH
National Provider Identifier
1477646396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34004252M Issued in OH
Legal business name
JAMES K. MATHESON, DO, LLC
Practice address
4560 Liberty Ave
Vermilion, OH 44089-1904
Phone
(440) 967-5433
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James K Matheson, DO
Title
Owner
Phone
(440) 967-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 34004252M OH Primary

Addresses

Primary practice location

4560 Liberty Ave
Vermilion, OH 44089-1904

Mailing address

4560 Liberty Ave
Vermilion, OH 44089-1904
Phone (440) 967-5433

National Provider Directory

National Provider Directory

Locations

4560 Liberty Ave
Vermilion, OH 44089
Phone (440) 967-5433

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477646396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891904",
            "telephone_number": "440-967-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 LIBERTY AVE",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440891904",
            "telephone_number": "440-967-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. MATHESON, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-967-5433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34004252M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.