Godofredo L Mateo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00012743 Issued in WA

Practice address

7226 Interlaaken Dr SW
Lakewood, WA 98499-1800

Phone

(253) 588-4866

Fax

(253) 588-4866

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Adult Inpatient Medical Services,PLLC

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1568601722
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912059122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7226 INTERLAAKEN DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991800",
            "telephone_number": "253-588-4866",
            "fax_number": "253-588-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7226 INTERLAAKEN DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984991800",
            "telephone_number": "253-588-4866",
            "fax_number": "253-588-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "GODOFREDO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00012743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100387",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Mason, BA
• Robert Mason, DO
• Massage Kneaded LLC (Massage Kneaded)
• Maryann Massoud, AA
• Mastercare Senior Living Solutions, LLC (MasterCare In Home Providers)
• Stephanie Paule Matison
• Cindy Ha Vo Matta
• Robert Michael Matta
• Matthew White MD PS
• Gayle Matthews, M.D.

• General Practice Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.