DR. MALCOLM MATHEWS MD NPI 1952378747

NPI Information

NPI: 1952378747
Provider Name: DR. MALCOLM MATHEWS, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
2205 PAVILION DR
SUITE 101
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-6466
Get Directions

DR. Malcolm Mathews, MD is a medical oncology internal medicine in Kingsport, TN. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Malcolm Mathews, MD NPI is 1952378747. 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:

2205 PAVILION DR
SUITE 101
KINGSPORT, TN
ZIP 37660-641
Phone: (423) 857-6466
Fax: (423) 857-6456

The NPI 1952378747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 2/16/2017.

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
1	207RX0202X	Internal Medicine	Medical Oncology	0101232053	VIRGINIA	No
2	207RX0202X	Internal Medicine	Medical Oncology	16245	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1952378747	MEDICAID	VIRGINIA
2	008579W85	MEDICARE PIN	VIRGINIA
3	3026910	MEDICAID	TENNESSEE
4	Q011077	MEDICAID	TENNESSEE
5	005797W85	MEDICARE PIN	VIRGINIA
6	005847966	MEDICAID	VIRGINIA
7	A99082	MEDICARE UPIN
8	3026910	MEDICARE PIN	TENNESSEE
9	103I901648	MEDICARE PIN	TENNESSEE
10	830007078	MEDICARE PIN	TENNESSEE

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

NPI Synchronization or Removal

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