Craig K. Matheson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101011416 Issued in MI

Practice address

821 W US Highway 10
Scottville, MI 49454-9601

Phone

(231) 757-2500

Fax

(231) 757-9073

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: craig.matheson.1@15079.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newaygo County General Hospital Association

  dba Corewell Health Gerber Hospital

  • Critical Access Hospital
  • Fremont, MI
  • NPI 1063836963
  NPD (past)
• Newaygo County General Hospital Association

  dba Corewell Health Gerber Hospital Professional

  • Hospitalist Physician
  • Fremont, MI
  • NPI 1750404927
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1699763953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W US HIGHWAY 10",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494549601",
            "telephone_number": "231-757-2500",
            "fax_number": "231-757-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 W US HIGHWAY 10",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494549601",
            "telephone_number": "231-757-2500",
            "fax_number": "231-757-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "CRAIG",
        "middle_name": "K.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101011416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4615194",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "0855301234",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1038209",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.matheson@tcfp.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 W US Highway 10",
            "city": "Scottville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494549601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Naomi Hyso
• David Charles Jensen, DDS
• Kari Kortge
• Amanda Lipps
• Mason County Senior Meals on Wheels
• Memorial Medical Center of West Michigan (Spectrum Health Ludington Hospital)
• Nanazworld Home Helpers
• Nichols Drug Stores Inc
• Northwest Michigan Health Services, Inc.
• Timothy Joseph Petipren

• Family Medicine Physician in Scottville, MI
• Providers in Scottville, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.