Sheeja Mathai, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301086165 Issued in MI

Practice address

2591 S Leaton Rd
Mount Pleasant, MI 48858-8421

Phone

(989) 775-4672

Fax

(989) 775-4680

NPI assigned

Dec 5, 2006

Last updated

Mar 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1770641300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588421",
            "telephone_number": "989-775-4672",
            "fax_number": "989-775-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 S LEATON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588421",
            "telephone_number": "989-775-4672",
            "fax_number": "989-775-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "SHEEJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301086165",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "047253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Corrine Martinez, BAA
• Tera Martinov
• John Charles Mason, AT
• Kyle A Mason, PT
• Ava Elyse Mata
• Taylor Raine Mathey
• Amy R Mattichak, NP
• Andrea Maxwell, MA, LPC
• Jayde-Ann May, RD
• McBride Quality Care Services, Inc

• Family Medicine Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.