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NPI Code Detail

MEDICARE: DR. KATHERINE A MATHEWS M.D.

MEDICARE: DR. KATHERINE A MATHEWS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician199456NY
2207R00000XInternal Medicine PhysicianM-10237ID
3208M00000XHospitalist PhysicianM10237ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841296902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE A MATHEWS M.D.
Provider Business Mailing Address
First Line : 3340 E. GOLDSTONE WAY
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-1026
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 1055 N. CURTIS RD
Second Line :
City : BOISE
State : ID
Zip : 83706-1309
Country : US
Telephone Number : 208-367-7350
Fax Number : 208-367-3951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 10/31/2011

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Directions to “ DR. KATHERINE A MATHEWS M.D.” Practice Location

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