NPIMap

Individual provider Active NPI

John Mathers, DO

  • Emergency Medicine Physician
  • Durango, CO
National Provider Identifier
1508912114
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO3848 Issued in NV
Practice address
575 Rivergate
Durango, CO 81301-7487
Phone
(970) 385-2364
Fax
(970) 385-2396
NPI assigned
Jan 26, 2007
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 46141 CO
Emergency Medicine Physician 207P00000X DO3848 NV Primary
Family Medicine Physician 207Q00000X 46141 CO

Addresses

Primary practice location

575 Rivergate
Durango, CO 81301-7487

Mailing address

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 385-2364

Other practice location 1

1311 N Mildred Rd
Cortez, CO 81321-2299
Phone (970) 565-2025

Other identifiers 1

IdentifierTypeStateIssuer
46141OtherCOCOLORADO LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnmathers@swhealth.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090714000729 CO Practitioner - Family Practice 7719039221 Reassigns benefits to 3 organizations
I20250801001997 NV Practitioner - Family Practice 7719039221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnemucca Emergency Physicians LLCGroup PAC ID 2860434503, 16 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (954) 939-5000

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46141COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Surgical Hospital, LLC CurrentSince Aug 30, 2014 Accepting new patients
Southwest Health System, Inc. CurrentSince Jul 5, 2020 Accepting new patients
Durango Surgery Center LLC CurrentSince Aug 30, 2014 Accepting new patients
Southwest Health System Inc Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Winnemucca Emergency Physicians LLC Emergency Medicine CurrentSince Jul 17, 2025 Accepting new patients
Animas Surgical Hospital, LLC Emergency Medicine Current Accepting new patients
Southwest Health System, Inc. CurrentSince Jul 5, 2020 Accepting new patients

Locations

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

450 S Camino del Rio
Ste 106
Durango, CO 81301
Phone (970) 259-9311

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1508912114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-385-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017487",
            "telephone_number": "970-385-2364",
            "fax_number": "970-385-2396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 N Mildred Rd",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212299",
            "country_code": "US",
            "telephone_number": "970-565-2025",
            "fax_number": "970-564-2015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHERS",
        "first_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "46141",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO3848",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "46141",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnmathers@swhealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System - ED",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311 N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.