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PAUL MATHERNE M.D. NPI 1659479210


NPI Information

NPI: 1659479210
Provider Name: PAUL MATHERNE, M.D.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
180B DEBUYS RD
SUITE #223
BILOXI, MS
ZIP 39531
Phone: (228) 388-4862
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PAUL MATHERNE, M.D. is a preferred provider organization in Biloxi, MS. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PAUL MATHERNE, M.D. NPI is 1659479210. The provider is registered as an organization entity type.

The provider's business location address is:

180B DEBUYS RD
SUITE #223
BILOXI, MS
ZIP 39531-404
Phone: (228) 388-4862
Fax: (228) 388-2556

The provider's authorized official is Paul G. Matherne .
The authorized official title is Owner/solo and has the following contact phone number (228) 388-4862.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/8/2015.


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
1305R00000XPreferred Provider Organization09445MISSISSIPPIYes

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
1082948861MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
2437709303OTHERMISSISSIPPIBCBS OF MS/ BCBS OF ALA.
3D00879MEDICARE UPINMISSISSIPPI
4000018917MEDICAIDMISSISSIPPI

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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