James Jure Matic, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00017681 Issued in AL

Practice address

900 Deer Trace Rd
Pell City
Pell City, AL 35125-6452

Phone

(205) 814-2104

Fax

(205) 814-2145

NPI assigned

Sep 19, 2005

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  NPD
• St. Vincent's St. Clair, LLC

  dba Medical Center Pell City

  • Family Medicine Physician
  • Pell City, AL
  • NPI 1134253941
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1811982556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "BIRMINGHAM",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461061",
            "telephone_number": "205-437-6098",
            "fax_number": "205-437-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 DEER TRACE RD",
            "address_2": "PELL CITY",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351256452",
            "telephone_number": "205-814-2104",
            "fax_number": "205-814-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIC",
        "first_name": "JAMES",
        "middle_name": "JURE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00017681",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "17681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5963165",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051520969",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051520969",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Mardis, PHARMD
• Wendy Maronge
• Jessica Marshman
• Erin Chrisla Martin, CRNP
• Mary Sue Suggs (Main Street Medical Clinic)
• William Mayberry IV, OD
• Zachary Forrest Mayhew, DPT
• Morgan Michaela McCoy, FNP-C
• Amelia McGowan
• Tyler McGrady, DPT

• Emergency Medicine Physician in Pell City, AL
• Providers in Pell City, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.