Isabel Mathieson DO PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS7215 Issued in FL

Legal business name

ISABEL MATHIESON DO PA

Practice address

11928 Boyette Rd
Boyette Executive Center
Riverview, FL 33569-5601

Phone

(813) 671-5800

Fax

(813) 671-9966

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Isabel M Mathieson, DO

Title

Physician

Phone

(813) 671-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1790996353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11928 BOYETTE RD",
            "address_2": "BOYETTE EXECUTIVE CENTER",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-671-5800",
            "fax_number": "813-671-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11928 BOYETTE RD",
            "address_2": "BOYETTE EXECUTIVE CENTER",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-671-5800",
            "fax_number": "813-671-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL MATHIESON DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "MATHIESON",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "813-671-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS7215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Riverview, FL
• Providers in Riverview, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.