Jonathan Mathis, MD

Pediatrics Physician · Gallipolis, OH

Individual Active NPI

NPI number 1063890200

Practice location

100 Jackson Pike
Gallipolis, OH 45631
Phone
(855) 446-5937
Fax
(740) 446-5711

Open in Google Maps

NPI record

NPI
1063890200
Entity type
Individual (Type 1)
Enumeration date
May 8, 2015
Last updated
October 26, 2020
Certified
October 26, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 35.133539 OH
Pediatrics Physician 208000000X LL38060 SC

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1562
Phone
(740) 441-1934
Fax
(740) 446-5982

About Dr. Mathis

Jonathan Mathis, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 100 Jackson Pike, Gallipolis, OH 45631. The NPI number 1063890200 was assigned on May 8, 2015 and the record was last updated on October 26, 2020.

Dr. Mathis lists 2 licenses in the registry: #35.133539 (OH) for Pediatrics Physician; #LL38060 (SC) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Mathis, MD?

The NPI number is 1063890200.

What is the phone number of Dr. Mathis?

The phone number listed for the practice location is (855) 446-5937.

Where is Dr. Mathis located?

100 Jackson Pike, Gallipolis, OH 45631.

What is the taxonomy code for Dr. Mathis?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pediatrics Physician providers in Gallipolis

All Pediatrics Physician providers in Gallipolis, OH →