Ross Martin Mathieu, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DOS-1065 Issued in HI

Practice address

1060 Gaffney Rd
Bassett Army Community Hospital
Fort Wainwright, AK 99703-5002

Phone

(907) 361-5960

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1932204096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "address_2": "BASSETT ARMY COMMUNITY HOSPITAL",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-361-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "address_2": "BASSETT ARMY COMMUNITY HOSPITAL",
            "city": "FORT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-361-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "ROSS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "DOS-1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Madden, O.D.
• John Merrill Manning, PH.D.
• Troy Marburger, DDS
• Claudia Sanchez Martin, LCSW
• Kristi Ann Masterson, RNC
• Andrew Jennings May, AU.D.
• Patricia Lynn McCorkle, RN,BSN
• Janet Elaine McDermott, LMSW
• Margaret Ann McHugh, RN
• Dawn Lynee McKendrick, LPN

• Pediatrics Physician in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Pediatrics Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.