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JAMES WALLACE MATHEWSON M.D. NPI 1043381809


NPI Information

NPI: 1043381809
Provider Name: JAMES WALLACE MATHEWSON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1330 N RIM DR
SUITE A
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 779-7014
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James Wallace Mathewson, M.D. is a pediatrics in Flagstaff, AZ. The provider is 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. James Wallace Mathewson, M.D. NPI is 1043381809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 N RIM DR
SUITE A
FLAGSTAFF, AZ
ZIP 86001-134
Phone: (928) 779-7014

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG29338CALIFORNIAYes
22080P0202XPediatricsPediatric CardiologyG29338CALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A44018MEDICARE UPINCALIFORNIA
200G293380MEDICAIDCALIFORNIA
3WG29338AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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