Individual provider Active NPI

George W Mathews, DO

  • Family Medicine Physician
  • Humansville, MO
National Provider Identifier
1619980919
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOR7A99 Issued in MO
Practice address
201 S Arthur St
Humansville, MO 65674-8400
Phone
(417) 754-2223
Fax
(417) 754-8046
NPI assigned
Aug 15, 2006
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOR7A99 MO Primary

Addresses

Primary practice location

201 S Arthur St
Humansville, MO 65674-8400

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 754-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060329000545 MO Practitioner - General PracticePractitioner - Family Practice 2769490929 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOR7A99MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Memorial Healthcare CurrentSince May 1, 2013 Accepting new patients
Citizens Memorial Healthcare Family Medicine CurrentSince May 1, 2013 Accepting new patients
Buffalo Prairie Nursing and Rehab LLC Past Accepting new patients
Northwood Hills Care Center, LLC Past Accepting new patients
N & R of Hermitage LLC Past Accepting new patients
Citizens Memorial Health Care Foundation Past Accepting new patients
Northwoods Psychiatric Services Inc Family Medicine Past Accepting new patients
Comprehensive Wellness Clinic Past Accepting new patients
Big Spring Nursing and Rehab LLC Past Accepting new patients
Citizens Memorial Health Care Foundation Past Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

855 Arduser Dr
Osceola, MO 64776
Phone (417) 646-5075

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1619980919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-754-2223",
            "fax_number": "417-754-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ARTHUR ST",
            "city": "HUMANSVILLE",
            "state": "MO",
            "postal_code": "656748400",
            "telephone_number": "417-754-2223",
            "fax_number": "417-754-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "GEORGE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DOR7A99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humansville, MO

Sources for this page

Verify at the official NPI Registry.