Active NPI
Roger C Mathewson, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lancaster, OH
National Provider Identifier
1982605101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35-061031
- Practice address
- 401 N Ewing St
Lancaster, OH 43130-3372 - Phone
- (740) 687-8141
- Fax
- (740) 687-8973
- NPI assigned
- Aug 10, 2005
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35-061031 | OH | Primary |
Addresses
Primary practice location
401 N Ewing St
Lancaster, OH 43130-3372
Mailing address
PO Box 550
Lancaster, OH 43130-0550
Phone (740) 687-5164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2226906 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-061031 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1982605101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431300550",
"telephone_number": "740-687-5164",
"fax_number": "740-654-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N EWING ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303372",
"telephone_number": "740-687-8141",
"fax_number": "740-687-8973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWSON",
"first_name": "ROGER",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35-061031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2226906",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.