BOBAN N MATHEW (NPI# 1437262623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437262623 |
Entity Type | Individual |
Full Name | BOBAN N MATHEW |
Credential | M.D. |
Practice Address |
1 Mt. Carmel Way Pittsburg KS 66762-1266 |
Practice Telephone | 6202357900 |
Practice Fax Number | 6202317602 |
Mailing Telephone | 6202357900 |
Mailing Fax Number | 6202317602 |
Enumeration Date | 2006-08-15 |
Last Update Date | 2011-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0425243 | KS | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2006012207 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | PHYSICIAN LICENSE | 2006012207 | 01 |
DEA | BM5151662 | 01 | |
KS | 100281310C | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548423080 | Boban Mathew | Internal Medicine | 310 N 10th St, Heart & Lung Unit, St Alexius Hospital, Bismarck, ND 58501-4516 | 2008-07-04 |
Street Address |
1 MT. CARMEL WAY |
City | PITTSBURG |
State | KS |
Zip Code | 66762-1266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881692978 | Duane E Myers | Radiology | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2005-07-12 |
1992983498 | Chang Qing Xun | Internal Medicine | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2008-02-06 |
1003938853 | Radiation Oncology Associates, Inc | Radiology | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2007-04-04 |
1104947456 | Amy C Gibson-bebee | Nurse Practitioner | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2007-04-03 |
1770612772 | Shanna R Albright | Nurse Anesthetist, Certified Registered | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2007-03-05 |
1902934870 | Bryan O Baxley | Nurse Anesthetist, Certified Registered | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2007-03-01 |
1114017928 | Aaron W Burd | Nurse Anesthetist, Certified Registered | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2006-10-13 |
1568555175 | Jill S. Shriver | Dietitian, Registered | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2006-10-02 |
1336150010 | Hilah Sue Perkins | Nurse Practitioner | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2006-08-10 |
1194733394 | Justin Ray Reading | Registered Nurse | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2006-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
Find all providers in zip 66762 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043272206 | Sung Ha Ryoo | Internal Medicine | 2250 Gladstone Dr, Ste 1, Pittsburg, CA 94565-5124 | 2006-04-04 |
1992983498 | Chang Qing Xun | Internal Medicine | 1 Mt. Carmel Way, Pittsburg, KS 66762 | 2008-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629495502 | Sashidhar Manthravadi | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2014-03-28 |
1073806410 | Karl H Hanson Jr. | Internal Medicine | 9703 Overbrook Rd, Leawood, KS 66206-2309 | 2011-05-18 |
1033408695 | University of Kansas Hospital Authority | Internal Medicine | 9200 Indian Creek Pkwy, Bldg 9 Ste. 300, Overland Park, KS 66210-2036 | 2011-04-05 |
1508006917 | Howard N Ward | Internal Medicine | 3126 Sw 15th St, Topeka, KS 66604-2516 | 2009-02-25 |
1598916769 | Cancer Center of Kansas, P.a. | Internal Medicine | 817 N. Emporia, Wichita, KS 67214-3709 | 2008-10-07 |
1912158221 | Cancer Center of Kansas, P.a. | Internal Medicine | 750 Avenue D, Kingman, KS 67068-0376 | 2008-10-06 |
1811148125 | Cancer Center of Kansas, P.a. | Internal Medicine | 124 Commodore, Suite A, Pratt, KS 67124-2903 | 2008-10-06 |
1467603779 | Cancer Center of Kansas, P.a. | Internal Medicine | 1305 East 5th, Winfield, KS 67156-2406 | 2008-10-06 |
1215188529 | Cancer Center of Kansas, P.a. | Internal Medicine | 505 S. Plummer, Chanute, KS 66720-1950 | 2008-10-06 |
1730330044 | Cancer Center of Kansas, P.a. | Internal Medicine | 700 W. Central, El Dorado, KS 67042-2187 | 2008-10-06 |
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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.