Active NPI
Jason Earl Matherne, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- L3744
- Practice address
- 3530 Fannin St
Beaumont, TX 77701-3805 - Phone
- (409) 842-8222
- Fax
- (409) 842-8244
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | L3744 | TX | Primary |
Addresses
Primary practice location
3530 Fannin St
Beaumont, TX 77701-3805
Mailing address
3530 Fannin St
Beaumont, TX 77701-3805
Phone (409) 842-8222
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152655003 | Medicaid | TX | |
| 121679805 | Medicaid | TX | |
| 121679801 | Medicaid | TX | |
| N0123265 | Other | TX | DPS |
| 121679802 | Medicaid | TX | |
| 152655004 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Medical School at Houston, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3530 Fannin St
Beaumont, TX 77701-3805
Phone (409) 842-8222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3744 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Pathology Associates, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Diagnostic Pathology Associates, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Lubbock 5.01(a) Corporation | Past | Accepting new patients | |
| Arlington Pathology Association 501a Corporation | Past | Accepting new patients | |
| Ameripath Lubbock 5.01(a) Corporation | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
3080 College St
Beaumont, TX 77701
Phone (409) 212-5000
3530 Fannin St
Beaumont, TX 77701
Phone (409) 842-8222
608 Strickland Dr
Orange, TX 77630
Phone (409) 883-1248
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Beaumont, TX
- NPI 1407019292
-
- Anatomic Pathology & Clinical Pathology Physician
- Beaumont, TX
- NPI 1063519098
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1447324025
-
- Anatomic Pathology & Clinical Pathology Physician
- Arlington, TX
- NPI 1962508267
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1841261344
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
dba CHRISTUS Southeast Texas - St. Elizabeth
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323993600000",
"number": "1679670681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 FANNIN ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013805",
"telephone_number": "409-842-8222",
"fax_number": "409-842-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 FANNIN ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013805",
"telephone_number": "409-842-8222",
"fax_number": "409-842-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHERNE",
"first_name": "JASON",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "L3744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152655003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121679805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121679801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "N0123265",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121679802",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152655004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
- Jared Martinez, CRNA
- Mary L Olsen MD PA (dba Southeast Texas Rheumatology Associates)
- Mary L. Olsen, M.D., P.a.
- Anquinetta Monique Mason-Baylor, COTA/L
- Massage Therapy Education Center
- Robert Charles Matherne, D.D.S.
- Jordan Abraham Mathew, PHARM D
- Kiera Mattern
- Mackeinzie Alyse Matthews
- Maxie C Sprott II MD PA (Center For Womens Health & Birthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.