Organization Active NPI

James Mathis, M.D.

  • Clinical Medical Laboratory
  • Pilot Knob, MO
National Provider Identifier
1780072991
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
R3457 Issued in MO
Legal business name
JAMES MATHIS, M.D.
Practice address
1411 Rainbow Ave,, Ironton, Mo. 63650
Pilot Knob, MO 63663-0528
Phone
(573) 218-0730
NPI assigned
Dec 23, 2014
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Dr. James Stevens Mathis, M.D.
Title
General Practice
Phone
(573) 218-0730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X R3457 MO Primary

Addresses

Primary practice location

1411 Rainbow Ave,, Ironton, Mo. 63650
Pilot Knob, MO 63663-0528

Mailing address

1411
P.O. Box 528
Pilot Knob, MO 63663-0528
Phone (573) 218-0730

National Provider Directory

National Provider Directory
Tax ID family
Christopher Neagra72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1780072991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411",
            "address_2": "P.O. BOX 528",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636630528",
            "telephone_number": "573-218-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 RAINBOW AVE,, IRONTON, MO. 63650",
            "city": "PILOT KNOB",
            "state": "MO",
            "postal_code": "636630528",
            "telephone_number": "573-218-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MATHIS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "GENERAL PRACTICE",
        "authorized_official_telephone_number": "573-218-0730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "R3457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pilot Knob, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.