Active NPI
George M Mathew, M.D.
- Cardiovascular Disease Physician
- Leesburg, FL
National Provider Identifier
1902830888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME22451
- Practice address
- 732 N 3Rd St
Leesburg, FL 34748-4442 - Phone
- (352) 728-2532
- Fax
- (352) 728-3004
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME22451 | FL | |
| Cardiovascular Disease Physician | 207RC0000X | ME22451 | FL | Primary |
| Nuclear Cardiology Physician | 207UN0901X | ME22451 | FL |
Addresses
Primary practice location
732 N 3Rd St
Leesburg, FL 34748-4442
Mailing address
732 N 3Rd St
Leesburg, FL 34748-4442
Phone (352) 728-2532
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056386200 | Medicaid | FL | |
| 061907211 | Other | FL | RAILROAD MEDICARE |
| 35134 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1902830888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 N 3RD ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484442",
"telephone_number": "352-728-2532",
"fax_number": "352-728-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 N 3RD ST",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347484442",
"telephone_number": "352-728-2532",
"fax_number": "352-728-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "GEORGE",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME22451",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME22451",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "FL",
"license": "ME22451",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "056386200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "061907211",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "35134",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.