Organization Active NPI

Thomas Mathew MD PLLC

  • Cardiovascular Disease Physician
  • Pontiac, MI
National Provider Identifier
1891971693
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
TM031410 Issued in MI
Legal business name
THOMAS MATHEW MD PLLC
Practice address
35 S Johnson St
1A
Pontiac, MI 48341-1658
Phone
(248) 334-4721
Fax
(248) 334-3585
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Thomas Mathew, M.D.
Title
President
Phone
(248) 334-4721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X TM031410 MI Primary

Addresses

Primary practice location

35 S Johnson St
1A
Pontiac, MI 48341-1658

Mailing address

35 S Johnson St
1A
Pontiac, MI 48341-1658
Phone (248) 334-4721

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1891971693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST",
            "address_2": "1A",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411658",
            "telephone_number": "248-334-4721",
            "fax_number": "248-334-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST",
            "address_2": "1A",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411658",
            "telephone_number": "248-334-4721",
            "fax_number": "248-334-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MATHEW MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-334-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "TM031410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

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