MR. JOHN WILLIAM MATHEWSON (NPI# 1588857874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588857874 |
Entity Type | Individual |
Full Name | MR. JOHN WILLIAM MATHEWSON |
Credential | MD |
Practice Address |
5615 Deauville Ste 220 Midland TX 79706-2707 |
Practice Telephone | 4322215560 |
Mailing Telephone | 4322215560 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2020-09-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | MT185032 | PA | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | MT 185032 | PA | Allopathic & Osteopathic Physicians |
Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
N5229 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | STATE LICENSE | N5229 | 01 |
TX | 380896601 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
525 Oak Centre Dr, Ste 440, San Antonio, TX 78258 | 2108882115 | 2108882130 |
1919 Rogers Rd, Suite 104, San Antonio, TX 782514614 | 2105410700 | 2105416868 |
Street Address |
5615 DEAUVILLE STE 220 |
City | MIDLAND |
State | TX |
Zip Code | 79706-2707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700413994 | Brittany Vanzandt | Nurse Practitioner | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2020-03-26 |
1447882915 | Rachelle Michelle Campos | Nurse Practitioner | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2020-02-12 |
1952865347 | Andrea Nielsen | Specialist/Technologist | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2019-01-30 |
1467925040 | Kayla Melendez | Nurse Practitioner | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2019-01-07 |
1164778767 | Kristin L Rettig | Physician Assistant | 5615 Deauville Ste 220, Midland, TX 79706-2707 | 2012-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376183988 | Sara E Valentine | Nurse Practitioner | 4815 Ih-20 Bl W, Midland, TX 79706 | 2020-01-11 |
1508407958 | Vanessa Vazquez | Licensed Practical Nurse | 7701 Wcr 116 Sp63, Midland, TX 79706 | 2019-10-07 |
1316420060 | Sandra Carbajal | Licensed Practical Nurse | 2914 Scr 1193, Midland, TX 79706 | 2018-09-10 |
1184106429 | Guadalupe Linda Martinez | Registered Nurse | 3103 South County Road 1197, Midland, TX 79706 | 2018-09-04 |
1154821999 | Rebecca Gail Hildebrand | Licensed Vocational Nurse | 7701 Wcr 116 #83, Midland, TX 79706 | 2018-02-19 |
1174993927 | H-e-b, Lp | Clinical Medical Laboratory | 5407 Andrews Hwy, Midland, TX 79706 | 2015-10-05 |
1366623803 | Roddy Strobel Mdpa | Psychiatry & Neurology | 3300 S. Fm 1788, Suite 403, Odessa, TX 79706 | 2007-11-26 |
1043270085 | Franklin J Dzida | Orthopaedic Surgery | 5615 Deauville Blvd, Ste 220, Midland, TX 79706 | 2006-03-24 |
1114996048 | Stephanie Ann Schoen-orr | Counselor | 10008 Pilot Ave, Midland, TX 79706 | 2006-03-14 |
1790770402 | Gerardo Escobedo | Ophthalmology | 10100 Loop 40 West, Midland, TX 79706 | 2005-09-19 |
Find all providers in zip 79706 |
Taxonomy Code | 2086S0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgery of the Hand |
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730160052 | Curtis S Young | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2005-11-14 |
1083127724 | Permian Acute Care Surgery Pllc | Surgery | 701 Tradewinds Blvd Ste B, Midland, TX 79706-3166 | 2017-11-15 |
1871795393 | Curtis S Young Md Plc | Surgery | 728 W Wackerly St Ste 100, Midland, MI 48640-4724 | 2007-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
1780110684 | Lisbon Tech LLC | Surgery | 9 Medical Pkwy Ste 101, Dallas, TX 75234-7852 | 2017-05-11 |
1366838864 | Solomon Mollik Azouz | Surgery | 7777 Forest Ln Ste C802, Dallas, TX 75230-6863 | 2015-04-10 |
1174959035 | Hand Associates of San Antonio, Pllc | Surgery | 525 Oak Center Dr, Ste 440, San Antonio, TX 78258 | 2013-09-23 |
1578995924 | Hand Associates of North Dallas, Pllc | Surgery | 7000 W Plano Parkway, Plano, TX 76093 | 2013-08-07 |
1235461112 | Charles G Polsen Md Pa | Surgery | 2622 Marina Bay Dr, League City, TX 77573 | 2010-02-03 |
1972832046 | Allied Hand & & Orthopedics Austin Pa | Surgery | 3107 Oak Creek Drive, Ste 100, Austin, TX 78727 | 2009-12-18 |
1558543306 | Blake A. Morrison, Md, Pa | Surgery | 8230 Walnut Hill Ln Ste 212, Dallas, TX 75231-4469 | 2007-12-04 |
1831387927 | Dean Smith Md Pa | Surgery | 6400 Fannin St Ste 2080, Houston, TX 77030-1532 | 2007-10-15 |
1528251568 | Dina N Rahhal | Surgery | 3880 Parkwood Blvd Ste 501, Frisco, TX 75034-1931 | 2007-08-23 |
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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.