Active NPI
Raymond Eric Mathews, MD
- Internal Medicine Physician
- Hanover, PA
National Provider Identifier
1710980719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD036880E
- Practice address
- 1230 High St
Hanover, PA 17331-1127 - Phone
- (717) 632-9052
- Fax
- (717) 632-2388
- NPI assigned
- May 23, 2005
- Reactivated
- Mar 24, 2006
- Last updated
- Feb 14, 2019
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD036880E | PA | Primary |
Addresses
Primary practice location
1230 High St
Hanover, PA 17331-1127
Mailing address
116 S George St Ste 301
York, PA 17401-1443
Phone (717) 801-4821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036880E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1710980719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S GEORGE ST STE 301",
"city": "YORK",
"state": "PA",
"postal_code": "174011443",
"telephone_number": "717-801-4821",
"fax_number": "717-854-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 HIGH ST",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311127",
"telephone_number": "717-632-9052",
"fax_number": "717-632-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "RAYMOND",
"middle_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2019-02-14",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD036880E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.