DR. THOMAS K MATHEW (NPI# 1043419591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043419591 |
| Entity Type | Individual |
| Full Name | DR. THOMAS K MATHEW |
| Credential | M.D. |
| Practice Address |
1245 Berkshire Ct Adrian MI 49221-1367 |
| Practice Telephone | 5172659396 |
| Practice Fax Number | 5172659396 |
| Mailing Telephone | 5172659396 |
| Mailing Fax Number | 5172659396 |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2007-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 032919 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1368616 | 05 | |
| MI | BLUE CROSS AND BLUE SHIEL | 3407869482 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093042343 | Thomas Mathew | Pharmacist | 2311 Lakeland Dr, Dallas, TX 75228-5353 | 2009-11-06 |
| 1306010129 | Thomas Sunil Mathew | Physical Medicine & Rehabilitation | 265 Madison Ave, 4th Floor, New York, NY 10016 | 2008-04-14 |
| 1336363373 | Thomas Mathew | Internal Medicine | 238 Old Town Rd, Southampton, NY 11968-5013 | 2007-04-12 |
| 1639217169 | Thomas Mathew | Physical Therapist | 465 West Parker Road, Houston, TX 77091 | 2007-02-05 |
| 1003827403 | Thomas Mathew | Anesthesiology | 2730 Arnold Rd, Hamptonville, NC 27020-7106 | 2006-08-10 |
| 1407888597 | Thomas Mathew | Specialist | 35 South Johnson, Pontiac, MI 48341 | 2006-07-07 |
| 1932175957 | Thomas K Mathew | Family Medicine | 2861 W 26th St Ste 2, Erie, PA 16506-3064 | 2006-02-28 |
| 1215415005 | Thomas Njaliyil Mathew | Respiratory Therapist, Registered | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2018-08-02 |
| 1770006678 | Thomas P Mathew | Physician Assistant | 506 6th St, Brooklyn, NY 11215-3609 | 2017-07-23 |
| 1508027186 | Thomas Mathew | Social Worker | 18410 Jamaica Ave, Fifth Floor, Hollis, NY 11423-2400 | 2008-06-17 |
| Street Address |
1245 BERKSHIRE CT |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154353076 | Jonathan D Herschman | Urology | 777 Kimole Ln Ste 260, Adrian, MI 49221-1400 | 2006-07-07 |
| 1376721035 | Konda Bc Mouli, Md PC | Urology | 777 Kimole Ln, Suite 260, Adrian, MI 49221-1478 | 2008-02-05 |
| 1124087143 | Konda Bc Mouli | Urology | 777 Kimole Ln, Suite 260, Adrian, MI 49221-1478 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.