Individual provider Active NPI

H Marshall Matthews, MD

  • Hematology & Oncology Physician
  • Sheboygan, WI
National Provider Identifier
1487637856
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
27726 Issued in WI
Practice address
1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081-1990
Phone
(920) 458-7433
Fax
(920) 452-3594
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 27726 WI Primary

Addresses

Primary practice location

1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081-1990

Mailing address

1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081-1990
Phone (920) 458-7433

Other identifiers 1

IdentifierTypeStateIssuer
31644700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312001140 WI Practitioner - Hematology/Oncology 2567351455 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27726WIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheboygan Physicians Group, SC CurrentSince Jul 1, 2012 Accepting new patients
Sharon S. Richardson Hospice Home, Inc Past Accepting new patients
Matthew Oncology Associates Hematology & Oncology PastSince Dec 1, 1999 Accepting new patients

Locations

1621 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 458-4419

2920 Superior Ave
Sheboygan, WI 53081
Phone (920) 452-6000

1621 N Taylor Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 458-7433

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1487637856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "address_2": "SUITE 100",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811990",
            "telephone_number": "920-458-7433",
            "fax_number": "920-452-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N TAYLOR DR",
            "address_2": "SUITE 100",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811990",
            "telephone_number": "920-458-7433",
            "fax_number": "920-452-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "H",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "27726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31644700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.