Roy J Mathew Mdpa

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E6496 Issued in TX

Legal business name

ROY J MATHEW MDPA

Practice address

600 N Marienfeld St
Ste 308
Midland, TX 79701-4395

Phone

(432) 617-3855

Fax

(432) 617-3840

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Roy J Mathew, MDNPI 1801992920

Title

President

Phone

(432) 617-3855

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Roy Mathew, MD

  • Psychiatry Physician
  • Midland, TX
  • NPI 1801992920
  Medicare reassignment NPD Authorized official
• Lori Caroline Megan Stafford, D.O.

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1417181280
  NPD
• Norman Harris, MD

  • Obstetrics & Gynecology Physician
  • Odessa, TX
  • NPI 1255332722
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1740403120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 ISLAND CIR # 1",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071413",
            "telephone_number": "432-617-3855",
            "fax_number": "432-617-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MARIENFELD ST",
            "address_2": "STE 308",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797014395",
            "telephone_number": "432-617-3855",
            "fax_number": "432-617-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY J MATHEW MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-617-3855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E6496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008NH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylinn Elizabeth Rossow
• Heather Rotan, LPC
• Leslie Michelle Rowland, R.N. M.S,N. FNP
• Ryan Rowland, MD
• Brandon Wade Rowlett
• Madison Roy, PA-S
• Francisca Royal, N/A
• RPM Vision Industries
• RT Anesthesia PC
• Amber Celeste Ruiz, MA, LPC

• Psychiatry Physician in Midland, TX
• Providers in Midland, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.