MRS. MINY K. MATHEW (NPI# 1477793495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477793495 |
Entity Type | Individual |
Full Name | MRS. MINY K. MATHEW |
Credential | PA-C |
Practice Address |
4325 N Josey Ln Ste 300 Carrollton TX 75010-4638 |
Mailing Address |
2361 Shoreham Cir Lewisville TX 75056-5592 |
Practice Telephone | 4698004900 |
Practice Fax Number | 4698004909 |
Mailing Telephone | 9728993146 |
Enumeration Date | 2009-03-03 |
Last Update Date | 2019-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04162 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 315565701 | 05 |
Street Address |
4325 N JOSEY LN STE 300 |
City | CARROLLTON |
State | TX |
Zip Code | 75010-4638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
Find all providers in zip 75010 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871005736 | Revelation House Calls Inc | Physician Assistant | 1628 W Hebron Pkwy Ste 135, Carrollton, TX 75010-6335 | 2017-11-01 |
1336514736 | Genevieve Rochefort | Physician Assistant | 148 Liberty Way, Carrollton, VA 23314-2697 | 2015-12-10 |
1003811886 | David J Scholl | Physician Assistant | 157 Clinic Ave Ste 101, Carrollton, GA 30117-4454 | 2005-06-17 |
1083215214 | Prital Patel | Physician Assistant | 909 S Park St, Carrollton, GA 30117-4456 | 2020-11-04 |
1952829178 | Mary E Maxwell | Physician Assistant | 165 Clinic Ave, Carrollton, GA 30117-4413 | 2017-09-08 |
1396281416 | Stuart Smith | Physician Assistant | 705 Dixie St, Carrollton, GA 30117-3818 | 2017-01-12 |
1104282862 | Lindsay Nicole Deal | Physician Assistant | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2016-01-11 |
1124497649 | Matthew Hunt | Physician Assistant | 4333 N Josey Ln, Plaza II, Suite 302, Carrollton, TX 75010-4629 | 2015-09-15 |
1033517958 | Matthew Tassinari | Physician Assistant | 3012 E Hebron Pkwy, Suite 116, Carrollton, TX 75010-4464 | 2014-12-09 |
1508110255 | Amanda Hope Descalzo | Physician Assistant | 705 Dixie St, Carrollton, GA 30117-3818 | 2012-11-02 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 75010 |
Please comment or provide details below to improve the information on MRS. MINY K. MATHEW.
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.