Active NPI
Robert A Mathews, M.D.
- Pediatrics Physician
- Mayo, FL
National Provider Identifier
1962658492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ACN354
- Practice address
- 710 W Main St
Mayo, FL 32066-4127 - Phone
- (386) 294-1226
- Fax
- (386) 294-4218
- NPI assigned
- Aug 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ACN354 | FL | Primary |
Addresses
Primary practice location
710 W Main St
Mayo, FL 32066-4127
Mailing address
535 John Knox Rd
Tallahassee, FL 32303-4117
Phone (850) 298-6003
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": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1962658492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 JOHN KNOX RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323034117",
"telephone_number": "850-298-6003",
"fax_number": "850-298-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W MAIN ST",
"city": "MAYO",
"state": "FL",
"postal_code": "320664127",
"telephone_number": "386-294-1226",
"fax_number": "386-294-4218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-15",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ACN354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayo, FL
- Lafayette Nursing & Rehab Center LLC
- Lafayette Operations, LLC
- Samuel Lee Jr., RRT
- Lhi, LLC (Lafayette Health Care Center)
- Bogdan F Maliszewski, MD
- Mayo Family Pharmacy, Inc.
- Chelsea McAdams, L.M.T.
- Vicky Noling, PHARM.D.
- North Florida Medical Centers, Inc. (River Valley Medical Center)
- North Florida Pharmacy of Mayo, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.