Paul Matherne, M.D.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

09445 Issued in MS

Legal business name

PAUL MATHERNE, M.D.

Practice address

180B Debuys Rd
Suite #223
Biloxi, MS 39531-4404

Phone

(228) 388-4862

Fax

(228) 388-2556

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul G. Matherne, M.D.NPI 1730245739

Title

Owner/Solo

Phone

(228) 388-4862

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Paul G Matherne, MD

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1730245739
  NPD (past) Authorized official
• Connie B Richardson, C.F.N.P.

  • School Nurse Practitioner
  • Biloxi, MS
  • NPI 1629136221
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1659479210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "address_2": "SUITE #223",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-388-4862",
            "fax_number": "228-388-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD",
            "address_2": "SUITE #223",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314404",
            "telephone_number": "228-388-4862",
            "fax_number": "228-388-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL MATHERNE, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "MATHERNE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/SOLO",
        "authorized_official_telephone_number": "228-388-4862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MS",
            "license": "09445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018917",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS/ BCBS OF ALA.",
            "identifier": "437709303",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Preferred Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.