JOHN M MATHIS (NPI# 1336185107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336185107 |
| Entity Type | Individual |
| Full Name | JOHN M MATHIS |
| Credential | MD |
| Practice Address |
2107 Rosalind Ave Sw Roanoke VA 24014-1717 |
| Mailing Address |
Po Box 12526 Roanoke VA 24026-2526 |
| Practice Telephone | 5409046170 |
| Mailing Telephone | 5409046170 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101033765 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051341 | John Glenn Mathis | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-05-24 |
| 1669080081 | John Mathis | Dentist | 604 Brunson Dr, Tupelo, MS 38801-4947 | 2020-07-22 |
| 1437449824 | John T. Mathis Jr. | Pharmacist | 2708 Rosewood Dr, Columbia, SC 29205-3410 | 2011-04-19 |
| 1770732661 | John Shannon Mathis | Counselor | 2400 S 48th St, Springdale, AR 72762-6683 | 2008-09-16 |
| 1386852606 | John Mathis | Case Manager/Care Coordinator | 840 S Oak St, Ukiah, CA 95482-5777 | 2007-05-18 |
| 1780754739 | John R Mathis | Internal Medicine | 1213 24th St, #100, Anacortes, WA 98221-2592 | 2006-11-08 |
| 1437199635 | John Joseph Mathis | Radiology | 520 S 7th St, Vincennes, IN 47591-1038 | 2006-06-07 |
| Street Address |
2107 ROSALIND AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902847635 | Center for Surgical Excellence LLC | Clinic/Center | 2107 Rosalind Ave Sw, Roanoke, VA 24014-1717 | 2006-06-10 |
| 1265476659 | Robert F Obrien | Radiology | 2107 Rosalind Ave Sw, Roanoke, VA 24014-1717 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508008913 | Louise Godine | Radiology | 2840 Electric Rd, Suite 205 A, Roanoke, VA 24018-3551 | 2009-03-31 |
| 1073750816 | Roanoke Imaging LLC | Radiology | 4330 Brambleton Ave, Roanoke, VA 24018-3405 | 2009-01-15 |
| 1063467082 | Oddyssey Iv, LLC | Radiology | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 | 2006-05-24 |
| 1992768147 | Naiyer Imam | Radiology | 7636 Williamson Rd, Roanoke, VA 24019-4341 | 2006-04-10 |
| 1437111598 | Sutin - Srisumrid | Radiology | 3703 Sunridge Ln, Roanoke, VA 24018-3181 | 2006-04-04 |
| 1528061140 | James Edward Blackwell | Radiology | 1906 Belleview, Roanoke, VA 24033 | 2005-05-27 |
| 1730576943 | Seth Andrews | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-04-26 |
| 1770901530 | Samuel Key | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-03-30 |
| 1407116718 | Michael Bergen | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2012-05-21 |
| 1588924013 | Specialized Radiology Services Inc | Radiology | 2840 Electric Rd, Suite 205-a, Roanoke, VA 24018-3551 | 2012-05-17 |
| Find all providers in ROANOKE | ||||
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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.