Physician Compare National (NPI:1427022433)

HEALTHCARE PROVIDER: ANDRE CHARLES MATTHEWS M.D.

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

Individual Professional Information
NPI	1427022433
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577547314
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041026000886
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MATTHEWS
	Individual professional last name
Provider First Name	ANDRE
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ANDRE C MATTHEWS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7012991961
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6345 E BAYWOOD AVE
	Group Practice or individual's line 1 address
City	MESA
	Group Practice or individual's city
State	AZ
	Group Practice or individual's state
Zip Code	852061744
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4809811085
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	030121
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MOUNTAIN VISTA MEDICAL CENTER, LP
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	030107
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ARIZONA SPINE AND JOINT HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	031314
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COBRE VALLEY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	030062
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y