Central State University

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL STATE UNIVERSITY

Doing business as

Central State Health & Wellness Center

Practice address

1400 Brush Row Rd.
Wilberforce, OH 45384

Phone

(937) 376-6076

Fax

(937) 376-6647

NPI assigned

Jan 23, 2019

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Mathews, M.D.NPI 1073502746

Title

Executive Director

Phone

(937) 376-6076

Specialties & licenses 1

Addresses

Other names 1

• Central State Health & Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Michelle Mathews, MD

  • Family Medicine Physician
  • Wilberforce, OH
  • NPI 1073502746
  NPD (past) Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1871057992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1004",
            "city": "WILBERFORCE",
            "state": "OH",
            "postal_code": "45384",
            "telephone_number": "937-376-6076",
            "fax_number": "937-376-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRUSH ROW RD.",
            "city": "WILBERFORCE",
            "state": "OH",
            "postal_code": "45384",
            "telephone_number": "937-376-6076",
            "fax_number": "937-376-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-376-6076",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central State Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Bright, ATC
• Central State University (Central State Sports Medicine)
• Shawn Frye, RN
• Connie Sue Helmuth, FNP
• Tashai Ingram
• Lashaunta Jones, AT, ATC
• Karen Michelle Mathews, MD

• Family Medicine Physician in Wilberforce, OH
• Providers in Wilberforce, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.