DR. JOSE MATHEW (NPI# 1861654659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861654659 |
| Entity Type | Individual |
| Full Name | DR. JOSE MATHEW |
| Credential | DO, MPH |
| Practice Address |
455 Philip Blvd Ste 140 Lawrenceville GA 30046-8768 |
| Practice Telephone | 7709623642 |
| Practice Fax Number | 7709623643 |
| Mailing Telephone | 7709623642 |
| Mailing Fax Number | 7709623643 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2018-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
66218 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699744987 | Jose Mathew | Internal Medicine | 1101 Port Arthur Ter, Leesville, LA 71446-4635 | 2006-03-17 |
| 1447690474 | Jose Mathew | Social Worker | 115 S Parkside Dr, Colorado Springs, CO 80910-3130 | 2013-07-05 |
| Street Address |
455 PHILIP BLVD STE 140 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952508665 | Gerald Chai | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2007-06-27 |
| 1689207060 | Taylor Leigh Duncan | Nurse Practitioner | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2020-02-13 |
| 1063994523 | Deborah Wilkens | Registered Nurse | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2018-08-31 |
| 1659738128 | Thomas Cheriyan | Anesthesiology | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2016-01-28 |
| 1295120764 | Adam Gover | Pain Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2015-04-01 |
| 1457694887 | Chad Lee | Pain Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046 | 2013-04-04 |
| 1326392648 | An Duy Do | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2012-11-08 |
| 1306162037 | Srinand Mandyam | Pain Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2010-04-20 |
| 1679896104 | Steven Tuan Nguyen | Anesthesiology | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2010-03-11 |
| 1992955736 | Purnima Bansal | Family Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490091 | Interventional and Alternative Spine and Wellness, LLC | Physical Medicine & Rehabilitation | 3630 Wheeler Rd, Augusta, GA 30909-6561 | 2020-09-03 |
| 1881205151 | Georgia Regenrx, LLC. | Physical Medicine & Rehabilitation | 5755 N Point Pkwy Ste 72, Alpharetta, GA 30022-1146 | 2020-08-11 |
| 1710514989 | Jennifer Meyer | Physical Medicine & Rehabilitation | 1554 Riverstone Pkwy Ste 160, Canton, GA 30114-2887 | 2020-03-26 |
| 1982172060 | Back To Life Pain Center, LLC | Physical Medicine & Rehabilitation | 410 Creekstone Rdg, Woodstock, GA 30188-3740 | 2018-11-07 |
| 1760900708 | Neuro Diagnostic Group LLC | Physical Medicine & Rehabilitation | 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 | 2017-08-30 |
| 1386195378 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4121 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-10-14 |
| 1124471172 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4131 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-07-14 |
| 1043671761 | Pain Management and Rehabilitation Inc | Physical Medicine & Rehabilitation | 3955 Lawrenceville Hwy Nw, Lilburn, GA 30047-2996 | 2016-03-08 |
| 1356761191 | Simon Matt Willis | Physical Medicine & Rehabilitation | 114 Canal St Ste 503, Pooler, GA 31322-4261 | 2014-04-20 |
| 1891139663 | Advanced Pain and Rahabilitation PC | Physical Medicine & Rehabilitation | 3030 Mcever Rd Ste 300, Gainesville, GA 30504-5538 | 2013-04-24 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on DR. JOSE 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.