Jeselle a Mathews, Mdpa

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

H6416 Issued in TX

Legal business name

JESELLE A MATHEWS, MDPA

Practice address

2134 E. Griffin Pkwy
Mission, TX 78572

Phone

(956) 580-0580

Fax

(956) 580-7631

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeselle A Mathews, M.D.NPI 1730368879

Title

Doctor

Phone

(956) 580-0580

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Womens Diagnostic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jeselle A Mathews, M.D.

  • Obstetrics Physician
  • Mission, TX
  • NPI 1730368879
  Medicare reassignment NPD Authorized official
• Elizabeth Guzman, NP

  • Perinatal Registered Nurse
  • Mission, TX
  • NPI 1821220757
  Medicare reassignment NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1710090451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785730027",
            "telephone_number": "956-580-0580",
            "fax_number": "956-580-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 E. GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "78572",
            "telephone_number": "956-580-0580",
            "fax_number": "956-580-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESELLE A MATHEWS, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "JESELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "956-580-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "H6416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135573704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00T45N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mariano Jimenez, LPC
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• Obstetrics Physician in Mission, TX
• Providers in Mission, TX by specialty
• Obstetrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.