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Physician Compare National (NPI:1326158700)

HEALTHCARE PROVIDER: THOMAS A MATHESON DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1326158700
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355381955
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050503000865
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MATHESON
Individual professional last name
Provider First Name THOMAS
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DPM
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty PODIATRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2210 SAN JACINTO BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 5
Group Practice or individual's line 2 address
City DENTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 762057531
Group Practice or individual's zip code (9 digits when available)
Phone Number 9405661919
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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