KENNETH MATHEWS JR MD PC NPI 1750460515

NPI Information

  • NPI: 1750460515
  • Provider Name: KENNETH MATHEWS JR MD PC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • Address: 812 WEST 4TH NORTH ST
    MORRISTOWN, TN
    ZIP 37814
  • Phone: (423) 581-3490

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NPI Details

KENNETH MATHEWS JR MD PC is an emergency medicine in Morristown, TN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. KENNETH MATHEWS JR MD PC NPI is 1750460515. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

812 WEST 4TH NORTH ST
MORRISTOWN, TN
ZIP 37814
Phone: (423) 581-3490
Fax: (423) 581-0657

The provider's authorized official is Kenneth Milton Mathews .
The authorized official title is President Owner and has the following contact phone number (423) 581-3490.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMD012570TNTENNESSEEYes
2207P00000XEmergency MedicineMD9700433NCNORTH CAROLINAX
3207Q00000XFamily MedicineMD012570TNTENNESSEEX
4207Q00000XFamily MedicineMD9700433NCNORTH CAROLINAX
5207R00000XInternal MedicineMD012570TNTENNESSEEX
6207R00000XInternal Medicine9700433NCNORTH CAROLINAX
72083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineMD012570TNTENNESSEEX
82083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineMD9700433NCNORTH CAROLINAX
92083P0901XPreventive MedicinePublic Health & General Preventive MedicineMD012570TNTENNESSEEX
102083P0901XPreventive MedicinePublic Health & General Preventive Medicine9700433NCNORTH CAROLINAX
11208D00000XGeneral PracticeMD012570TNTENNESSEEX
12208D00000XGeneral Practice9700433NCNORTH CAROLINAX

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: 3/30/2025

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