Organization Active NPI

Matthews Hematology Oncology Associates

  • Hematology & Oncology Physician
  • Matthews, NC
National Provider Identifier
1629023601
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MATTHEWS HEMATOLOGY ONCOLOGY ASSOCIATES
Practice address
1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone
(704) 841-8151
Fax
(704) 841-9228
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Richard S Foulke, MD
Title
Owner
Phone
(704) 847-0861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1700 Matthews Township Pkwy
Matthews, NC 28105-4658

Mailing address

1700 Matthews Township Pkwy
Matthews, NC 28105-4658
Phone (704) 841-8151

Other identifiers 3

IdentifierTypeStateIssuer
015W8OtherNCBLUE CROSS/BLUE SHIELD
89015W8MedicaidNC
NPB040MedicaidSC

National Provider Directory

National Provider Directory

Locations

3036 Senna Dr
Matthews, NC 28105
Phone (704) 841-8151

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1629023601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054658",
            "telephone_number": "704-841-8151",
            "fax_number": "704-841-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054658",
            "telephone_number": "704-841-8151",
            "fax_number": "704-841-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS HEMATOLOGY ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "FOULKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-847-0861",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "015W8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015W8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB040",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.