MR. SHAJI O MATHEW (NPI# 1902873755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902873755 |
Entity Type | Individual |
Full Name | MR. SHAJI O MATHEW |
Credential | M.D,PHD |
Practice Address |
75 Pringle Way Suite 706 Reno NV 89502-1464 |
Practice Telephone | 7753236822 |
Practice Fax Number | 7753233822 |
Mailing Telephone | 7753236822 |
Mailing Fax Number | 7753233822 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
9909 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | NEVADACARE COMMERC,MCAID | 195574 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588987440 | Shaji Mathew | Pharmacist | 540 Amsterdam Ave, Manhatten, NY 10024 | 2010-03-08 |
Street Address |
75 PRINGLE WAY SUITE 706 |
City | RENO |
State | NV |
Zip Code | 89502-1464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043218431 | Jeffrey K Beall | Otolaryngology | 75 Pringle Way, Suite 509, Reno, NV 89502-1464 | 2005-07-11 |
1497238257 | Tiffany Broce | Nurse Practitioner | 75 Pringle Way, Reno, NV 89502-1464 | 2018-09-07 |
1346772910 | Laura Michelle Orange | Registered Nurse | 75 Pringle Way, Reno, NV 89502-1464 | 2017-04-01 |
1285171249 | Sierra Infectious Disease | Clinic/Center | 75 Pringle Way, Suite 705, Reno, NV 89502-1464 | 2017-01-27 |
1023550704 | Heather Nicole Carroll | Nurse Practitioner | 75 Pringle Way, Suite 512, Reno, NV 89502-1464 | 2016-11-10 |
1548712771 | Gomez Kozar Mcelreath Smith | Nurse Practitioner | 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 | 2016-11-04 |
1407219801 | Amy Gardner | Physician Assistant | 75 Pringle Way, Suite 804, Reno, NV 89502-1464 | 2016-04-01 |
1417320540 | Sierra Pediatric Blood and Cancer Consortium | Pediatrics | 75 Pringle Way, Reno, NV 89502-1464 | 2015-11-11 |
1306216163 | Karen E Dosh | Registered Nurse | 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 | 2015-10-05 |
1811331713 | Chiyo Wendy Takehara | Family Medicine | 75 Pringle Way, Suite 601, Reno, NV 89502 | 2013-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
Find all providers in zip 89502 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245527753 | Patrick J Colletti | Pediatrics | 1001 Jones St, Reno, NV 89503-5512 | 2011-07-05 |
1154613289 | Bejal Patel | Pediatrics | 901 E 2nd St, Ste 201, Reno, NV 89502-1175 | 2011-05-08 |
1144489535 | Univy of Nv School of Medicine Multispecialty Group Practice North Inc | Pediatrics | 75 Pringle Way, 909, Reno, NV 89502-1464 | 2008-06-02 |
1649371600 | Colletti Md PC | Pediatrics | 1001 Jones St, Reno, NV 89503-5512 | 2006-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154548410 | Jose Rodriquez Simpao Jr. | Pediatrics | 6850 N Durango Dr Ste 120, Las Vegas, NV 89149-4596 | 2007-04-19 |
1659457935 | Michael L. Levin | Pediatrics | 220 E Horizon Dr Ste A, Henderson, NV 89015-8001 | 2006-10-28 |
1114003498 | Marcy A. Kulic | Pediatrics | 600 Whitney Ranch Dr Ste A1, Henderson, NV 89014-2631 | 2006-10-28 |
1548664386 | University of Nv School of Medicine Multi-specialty Group South | Pediatrics | 1524 Pinto Ln, 3rd Floor, Las Vegas, NV 89106-4195 | 2014-10-21 |
1033436621 | University of Nv School Multispecialty Group Practice South Inc | Pediatrics | 3006 S Maryland Pkwy, 320, Las Vegas, NV 89109-2218 | 2010-04-23 |
1508055260 | Nevada Children's Clinic | Pediatrics | 8352 W Warm Springs Rd, Suite 210, Las Vegas, NV 89113-3628 | 2007-10-18 |
1477632685 | Rosalita C Jurani | Pediatrics | 633 N Decatur Blvd, Suite A, Las Vegas, NV 89107-1943 | 2006-11-06 |
1952342891 | Renu S Batra | Pediatrics | 3650 S Eastern Ave, # 230, Las Vegas, NV 89109-3379 | 2006-06-10 |
1194787002 | David Hanlon Barton | Pediatrics | 1524 Pinto Ln, Las Vegas, NV 89106-4195 | 2006-04-05 |
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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.