Active NPI
Mark A. Mathurin, MD
- Emergency Medicine Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 23700
- Practice address
- 1500 S Mill Ave
Emergency Department
Tempe, AZ 85281-6699 - Phone
- (480) 784-5533
- Fax
- (480) 333-5197
- NPI assigned
- Sep 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 23700 | AZ | |
| Emergency Medicine Physician | 207P00000X | 23700 | AZ | Primary |
Addresses
Primary practice location
1500 S Mill Ave
Emergency Department
Tempe, AZ 85281-6699
Mailing address
861 SW 78TH Ave
#100B
Plantation, FL 33324-3273
Phone (954) 693-0000
Other practice location 1
1325 N Litchfield Rd Ste 110
Goodyear, AZ 85395-1214
Phone (623) 935-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 N Litchfield Rd
Suite 110
Goodyear, AZ 85395-1228
Phone (623) 935-9494
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (302) 354-5471
Hospital & facility affiliations
- Summit Healthcare Regional Medical Center
- Abrazo West Campus
- Whiteriver PHS Indian Hospital
- Little Colorado Medical Center
- White Mountain Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23700 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med-Cure Internal Medicine, PLC | Current | Accepting new patients | |
| Hospitalist Medicine Healthcare LLC | Hospitalist | Current | Accepting new patients |
| Comprehensive Hospitalist Services of Arizona LLC | Hospitalist | Current | Accepting new patients |
| Pioneer Hospitalists, PLLC | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Arizona, LLC | Hospitalist | Current | Accepting new patients |
| Willard Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Hualapai Emergency Physician Partners PLLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Summit Healthcare Association | Past | Accepting new patients | |
| Team Physicians of Arizona PC | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Hospital Development of West Phoenix Inc | Past | Accepting new patients | |
| Barnet Dulaney Perkins Eye Center, PC | Past | Accepting new patients | |
| Mesa General Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
525 S Watson Rd
Ste 205
Buckeye, AZ 85326
Phone (623) 344-0498
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
3100 W Ray Rd
Ste 201
Chandler, AZ 85226
Phone (269) 312-1446
1325 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (623) 932-4060
13657 W McDowell Rd
Ste 11
Goodyear, AZ 85395
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBDIAA
- gehmmathu@yourcarecommunity.org
Organizations & group practices 16
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.
-
- Hospitalist Physician
- Show Low, AZ
- NPI 1639594351
-
- Primary Care Clinic/Center
- Goodyear, AZ
- NPI 1831323708
-
- Hospitalist Physician
- Mesa, AZ
- NPI 1689909780
-
- Internal Medicine Physician
- Chandler, AZ
- NPI 1033177316
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1376934315
-
- Hospitalist Physician
- Bullhead City, AZ
- NPI 1265823215
-
- Ophthalmology Physician
- Safford, AZ
- NPI 1649202771
-
- Emergency Medicine Physician
- Winslow, AZ
- NPI 1144270315
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- Emergency Medicine Physician
- Kingman, AZ
- NPI 1881827806
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1568473940
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whiteriver, AZ
- NPI 1427335140
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- Rural Acute Care Hospital
- Show Low, AZ
- NPI 1144209271
-
- Rural Health Clinic/Center
- Overgaard, AZ
- NPI 1770700767
Hospital
-
- Critical Access Hospital
- Springerville, AZ
- NPI 1699766592
-
- Critical Access Hospital
- Winslow, AZ
- NPI 1477653889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1497853733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 SW 78TH AVE",
"address_2": "#100B",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243273",
"telephone_number": "954-693-0000",
"fax_number": "954-693-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MILL AVE",
"address_2": "EMERGENCY DEPARTMENT",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852816699",
"telephone_number": "480-784-5533",
"fax_number": "480-333-5197"
}
],
"practiceLocations": [
{
"address_1": "1325 N Litchfield Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Goodyear",
"state": "AZ",
"postal_code": "853951214",
"country_code": "US",
"telephone_number": "623-935-9494",
"fax_number": "623-935-9292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHURIN",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "23700",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "23700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.