Active NPI
George W. Mathison, M.D.
- Orthopaedic Surgery Physician
- Fergus Falls, MN
National Provider Identifier
1760581573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 23271
- Practice address
- 615 S Mill St
Fergus Falls, MN 56537-2756 - Phone
- (218) 739-2221
- Fax
- (218) 739-5501
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 23271 | MN | Primary |
Addresses
Primary practice location
615 S Mill St
Fergus Falls, MN 56537-2756
Mailing address
615 S Mill St
Fergus Falls, MN 56537-2756
Phone (218) 739-2221
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09-01298 | Other | MN | MEDICA |
| 123450 | Other | MN | UCAREMN |
| HP26720 | Other | MN | HEALTHPARTNERS |
| 12224 | Medicaid | MN | |
| 61330MA | Other | MN | BCBS |
| 1476574 | Medicaid | TX | |
| 41091744413 | Medicaid | NE | |
| 1008794 | Other | MN | PREFERREDONE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1760581573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S MILL ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372756",
"telephone_number": "218-739-2221",
"fax_number": "218-739-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S MILL ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372756",
"telephone_number": "218-739-2221",
"fax_number": "218-739-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHISON",
"first_name": "GEORGE",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "23271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "09-01298",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCAREMN",
"identifier": "123450",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP26720",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12224",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "61330MA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1476574",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41091744413",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "1008794",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.