CHRISTOPHER L MATHIS (NPI# 1104824838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104824838 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER L MATHIS |
| Credential | MD |
| Practice Address |
6215 Humphreys Blvd Suite 200 Memphis TN 38120-2367 |
| Mailing Address |
Po Box 1000 Dept 978 Memphis TN 38148-0001 |
| Practice Telephone | 9018219990 |
| Practice Fax Number | 9018219991 |
| Mailing Telephone | 9018219990 |
| Mailing Fax Number | 9018219991 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 23722 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121811001 | 05 | |
| TN | 3068083 | 05 | |
| TN | BCBS | 6012373 | 01 |
| MS | 00124778 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826282 | Christopher B Mathis | Family Medicine | 5575 Kietzke Ln, Reno, NV 89511-2290 | 2006-01-25 |
| 1982180667 | Christopher Ryan Mathis | Counselor | 2203 Old Hwy 99 S, Mount Vernon, WA 98273-9009 | 2018-07-16 |
| 1184003345 | Christopher Mathis | Pediatrics | 1500 E. Medical Center Drive, D3230 Mpb, Spc 5718, Ann Arbor, MI 48109-5718 | 2015-05-21 |
| 1356781033 | Christopher Charles Mathis | Specialist/Technologist | 231 W Hancock St, Milledgeville, GA 31061-3375 | 2013-06-26 |
| 1114125713 | Christopher C Mathis | Counselor | 2401 S Willis St Ste 103, Abilene, TX 79605-6248 | 2007-07-05 |
| Street Address |
6215 HUMPHREYS BLVD SUITE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599316 | Michael Stuart Bronstein | Specialist | 6215 Humphreys Blvd, Ste 400, Memphis, TN 38120-2367 | 2005-06-21 |
| 1245655661 | Charity Brees | Nurse Practitioner | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2367 | 2014-02-21 |
| 1487082699 | Ebony Smith | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2013-10-25 |
| 1477831261 | Kristal D Taylor | Specialist | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-07-27 |
| 1174815609 | Catherine Ann Alexander | Pediatrics | 6215 Humphreys Blvd, Suite 310, Memphis, TN 38120-2373 | 2011-05-02 |
| 1215234505 | Leslie B Norman | Nurse Practitioner | 6215 Humphreys Blvd, Suite 500, Memphis, TN 38120-2367 | 2011-02-22 |
| 1538471248 | Ana Tobiasz | Obstetrics & Gynecology | 6215 Humphreys Blvd, Memphis, TN 38120-2367 | 2010-07-10 |
| 1013238054 | Jason Glenn Williams | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 401, Memphis, TN 38120-2367 | 2010-06-14 |
| 1720309750 | Mary Katherine Johnson | Obstetrics & Gynecology | 6215 Humphreys Blvd, Ste 100, Memphis, TN 38120-2367 | 2010-06-14 |
| 1073840104 | Annjanette Marie Howsan | Nurse Practitioner | 6215 Humphreys Blvd, Suite 201, Memphis, TN 38120-2367 | 2009-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1285015453 | Taylor Aglio | Pediatrics | 49 N Dunlap St # 131, Memphis, TN 38103-2802 | 2015-06-14 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1366844490 | Gerard Joseph Billmeier Jr. | Pediatrics | 6465 Massey Lane, Memphis, TN 38120-3307 | 2014-09-19 |
| 1316348089 | James Levernier | Pediatrics | 4781 Park Ave, Memphis, TN 38117-5623 | 2014-09-11 |
| 1124454657 | Walter Thompson Hughes Jr. | Pediatrics | 854 River Park Dr, Memphis, TN 38103-0804 | 2013-09-16 |
| 1518301084 | Jennifer Lauren Miller | Pediatrics | 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 | 2013-04-26 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1477845451 | Emilee Adelyn Dobish | Pediatrics | 850 Poplar Ave, Building 2, Memphis, TN 38103 | 2011-05-09 |
| 1366748055 | Silpa Peravali | Pediatrics | Lebonheur Childrens Hospital, 848 Adams Avenue, Memphis, TN 38103 | 2011-01-28 |
| 1275854259 | Melissa Ruth Hines | Pediatrics | 262 Danny Thomas Pl # Ms 734, Division of Pediatric Critical Care, Memphis, TN 38105-3678 | 2010-06-14 |
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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.