NPIMap

Organization Active NPI

Hartselle Primary Care, P.C.

  • Family Medicine Physician
  • Hartselle, AL
National Provider Identifier
1710936547
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00026288 Issued in AL
Legal business name
HARTSELLE PRIMARY CARE, P.C.
Practice address
1635 Highway 31 NW
Ste B
Hartselle, AL 35640-4426
Phone
(256) 773-9820
Fax
(256) 773-6807
NPI assigned
May 9, 2006
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Thomas Mathew Jr., M.D.NPI 1578512141
Title
Owner/Physician
Phone
(256) 773-9820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00026288 AL Primary

Addresses

Primary practice location

1635 Highway 31 NW
Ste B
Hartselle, AL 35640-4426

Mailing address

1635 Highway 31 NW
Ste B
Hartselle, AL 35640-4426
Phone (256) 773-9820

Other identifiers 1

IdentifierTypeStateIssuer
DG3182OtherALRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1635 Highway 31 NW
Ste B
Hartselle, AL 35640
Phone (255) 675-1928

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1710936547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 31 NW",
            "address_2": "STE B",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404426",
            "telephone_number": "256-773-9820",
            "fax_number": "256-773-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGHWAY 31 NW",
            "address_2": "STE B",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404426",
            "telephone_number": "256-773-9820",
            "fax_number": "256-773-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSELLE PRIMARY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-773-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00026288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3182",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.