George W Mathews, DO
Individual provider Active NPI Family Medicine Physician · Humansville, MO
NPI 1619980919 · NPPES record last updated Feb 22, 2010
Key facts
- NPI
- 1619980919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DOR7A99 (MO)
- Practice address
- 201 S Arthur St
Humansville, MO 65674-8400 - Phone
- (417) 754-2223
- Fax
- (417) 754-8046
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060329000545 | MO | Practitioner - General Practice |
2769490929 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOR7A99 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Healthcare | Family Medicine | Current |
Accepting new patients |
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Comprehensive Wellness Clinic | Past | Accepting new patients | |
| Citizens Memorial Health Care Foundation | Past | Accepting new patients | |
| Northwood Hills Care Center, LLC | Past | Accepting new patients | |
| Big Spring Nursing and Rehab LLC | Past | Accepting new patients | |
| Buffalo Prairie Nursing and Rehab LLC | Past | Accepting new patients | |
| Citizens Memorial Health Care Foundation | Past | Accepting new patients | |
| N & R of Hermitage LLC | Past | Accepting new patients | |
| Northwoods Psychiatric Services Inc | Family Medicine | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DOR7A99 | MO | Yes |
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
NPI Registry JSON
{
"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
- Cheryl Jeannette Gerry
- Kristi Jan Haynes
- Humansville SNF Operations, LLC
- Kelly Gene Jones
- Richard Thomas Leslie
- Roger Alan Mayle
- Northwood Hills Care Center, LLC
- PHBS, LLC
- Phyt Rehab of Missouri Inc
- Sheila Marie Robins
All providers in Humansville, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.