John W Matseshe MD PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

JOHN W MATSESHE MD PLLC

Practice address

1445 N Hunt Club Rd Ste 303
Gurnee, IL 60031-2603

Phone

(847) 855-3150

NPI assigned

Jan 24, 2020

Organization subpart

No

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

Authorized official

Name

John W Matseshe, MDNPI 1194727420

Title

President

Phone

(847) 899-7165

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• John W Matseshe, M.D.

  • Gastroenterology Physician
  • Gurnee, IL
  • NPI 1194727420
  NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1487284881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 FARRINGTON DR",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692504",
            "telephone_number": "847-855-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD STE 303",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-855-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W MATSESHE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "MATSESHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-899-7165",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047991",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystal K Jernigan
• Lindsey M Jezuit
• JG Johnson Chiropractic Office PC
• Sandra Lynn Johansen, MS, ATC
• John Stelios Leventis
• John W. Kamysz, M.D.
• Ashley Marie Johnnies, MSW/LCSW
• Ross M Johnsen, DDS
• Benjamin C Johnson, MD
• Ruth Ann Johnson, LCSW

• Gastroenterology Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.