Organization Active NPI

William H Matthews, MD, LLC

  • Specialist
  • West Monroe, LA
National Provider Identifier
1821271917
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016854 Issued in LA
Legal business name
WILLIAM H MATTHEWS, MD, LLC
Practice address
102 Thomas Rd Ste 104
West Monroe, LA 71291-7365
Phone
(318) 323-1559
Fax
(318) 325-5084
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Brenda Roberts
Title
Billing MGR
Phone
(318) 396-2715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 016854 LA Primary

Addresses

Primary practice location

102 Thomas Rd Ste 104
West Monroe, LA 71291-7365

Mailing address

3308 Deborah Dr
Monroe, LA 71201-2151
Phone (318) 325-7431

Other identifiers 1

IdentifierTypeStateIssuer
1367079MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1821271917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 DEBORAH DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012151",
            "telephone_number": "318-325-7431",
            "fax_number": "318-325-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THOMAS RD STE 104",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917365",
            "telephone_number": "318-323-1559",
            "fax_number": "318-325-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H MATTHEWS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "318-396-2715"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "016854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.