Active NPI
Susanna A Mathe, M.D.
- Neurology Physician
- Richmond, VA
National Provider Identifier
1508837238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101038574
- Practice address
- 165 Wadsworth Dr
Richmond, VA 23236-4500 - Phone
- (804) 272-9146
- Fax
- (804) 330-5929
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101038574 | VA | Primary |
Addresses
Primary practice location
165 Wadsworth Dr
Richmond, VA 23236-4500
Mailing address
7301 Forest Ave
Suite 302
Richmond, VA 23226-3792
Phone (804) 288-2767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6100112 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101038574 | VA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Associates, Inc. | Neurology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Richmond, VA
- NPI 1982702395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1508837238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 FOREST AVE",
"address_2": "SUITE 302",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263792",
"telephone_number": "804-288-2767",
"fax_number": "804-288-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 WADSWORTH DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232364500",
"telephone_number": "804-272-9146",
"fax_number": "804-330-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHE",
"first_name": "SUSANNA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101038574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6100112",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.