George K Mathew, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35-044841 Issued in OH

Practice address

29099 Health Campus Dr
Suite-230
Westlake, OH 44145-5200

Phone

(440) 835-6263

Fax

(440) 892-6632

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• George K. Mathew, M.D., Inc.

  • General Practice Physician
  • Westlake, OH
  • NPI 1487910857
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1487859161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR",
            "address_2": "SUITE-230",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-835-6263",
            "fax_number": "440-892-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HEALTH CAMPUS DR",
            "address_2": "SUITE-230",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455200",
            "telephone_number": "440-835-6263",
            "fax_number": "440-892-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "GEORGE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35-044841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0429334",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marwan Massouh, MD
• Brandon Massullo, MA/LPCC
• Mastnardo Massage Therapies
• Diane Mastnardo, LMT
• Premila Mathai, MD
• Mary Terese Matousek, LPC EAP
• George Matta
• James Matthews
• Devon Mauch, PT, DPT
• Teri L Maurer, LISW-S

• General Practice Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.