Active NPI
Arthur M Matthews Jr., MD
- Urology Physician
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 07141
- Practice address
- 15190 Community Rd
Suite 370
Gulfport, MS 39503-3485 - Phone
- (228) 831-9699
- Fax
- (882) 831-3908
- NPI assigned
- Jul 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD.8123 | AL | |
| Urology Physician | 208800000X | MD.011742 | LA | |
| Urology Physician | 208800000X | 07141 | MS | Primary |
Addresses
Primary practice location
15190 Community Rd
Suite 370
Gulfport, MS 39503-3485
Mailing address
15190 Community Rd
Suite 370
Gulfport, MS 39503-3485
Phone (228) 831-9699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00017429 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.8123 | AL | MD | Urology Physician |
| MD.011742 | LA | MD | Urology Physician |
| 07141 | MS | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama Health Care Authority | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Wiregrass Clinic LLC | Urology | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Urology Associates of Mobile, P.a. | Urology | Current | Accepting new patients |
| Stone County Hospital, Inc | Past | Accepting new patients |
Locations
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617
3290 Dauphin St
Mobile, AL 36606
Phone (251) 435-7460
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950
6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880
1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
#42
New Orleans, LA 70112
Phone (504) 988-2750
15190 Community Rd
Ste 300
Gulfport, MS 39503
Phone (228) 819-8586
15190 Community Rd
Ste 370
Gulfport, MS 39503
Phone (228) 831-9699
1153 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 819-8586
Interoperability endpoints
- arthurmatthews@uam.allscriptsdirect.net
- amatthews@direct.mhg.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1508392432
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Ambulance
- Wiggins, MS
- NPI 1003073057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1760417612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15190 COMMUNITY RD",
"address_2": "SUITE 370",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033485",
"telephone_number": "228-831-9699",
"fax_number": "882-831-3908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15190 COMMUNITY RD",
"address_2": "SUITE 370",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395033485",
"telephone_number": "228-831-9699",
"fax_number": "882-831-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "ARTHUR",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "MD.8123",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "MD.011742",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MS",
"license": "07141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00017429",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.