Organization Active NPI

Thomas E Mathias DO, PA

  • Internal Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1740528181
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS0006027 Issued in FL
Legal business name
THOMAS E MATHIAS DO, PA
Practice address
6502 Park Blvd N
Pinellas Park, FL 33781-3142
Phone
(727) 541-5544
Fax
(727) 546-8142
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Dr. Thomas E Mathias, DO, PA
Title
Physician
Phone
(727) 541-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS0006027 FL Primary

Addresses

Primary practice location

6502 Park Blvd N
Pinellas Park, FL 33781-3142

Mailing address

6502 Park Blvd N
Pinellas Park, FL 33781-3142
Phone (727) 541-5544

Other identifiers 1

IdentifierTypeStateIssuer
06501700MedicaidFL

National Provider Directory

National Provider Directory

Locations

6502 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 541-5544

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1740528181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813142",
            "telephone_number": "727-541-5544",
            "fax_number": "727-546-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 PARK BLVD N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337813142",
            "telephone_number": "727-541-5544",
            "fax_number": "727-546-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E MATHIAS DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "MATHIAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-541-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS0006027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06501700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.