Mathew Medical Consulting PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME102280 Issued in FL

Legal business name

MATHEW MEDICAL CONSULTING PA

Practice address

635 Tuscanny St
Brandon, FL 33511-6165

Phone

(239) 210-0132

Fax

(239) 210-0134

NPI assigned

Nov 8, 2011

Organization subpart

No

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

Authorized official

Name

Jenifer O Oliveira

Title

Credentialer

Phone

(239) 210-0132

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1992082721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 TUSCANNY ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116165",
            "telephone_number": "239-210-0132",
            "fax_number": "239-210-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 TUSCANNY ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116165",
            "telephone_number": "239-210-0132",
            "fax_number": "239-210-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW MEDICAL CONSULTING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "OLIVEIRA",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "239-210-0132"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000612200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Marie Mataluni, BCBA
• Gema Elizabeth Matanle
• Noelle Matese, MD
• Angela Matheny
• Janean C Mathes, PTA
• Christy Mathew
• Ron Mathew, M.D.
• John Mathias, MD
• Nadia Matos Rodriguez
• Matrix Home Care LLC

• Family Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Family Medicine Physician in Florida

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

Verify at the official NPI Registry.