Mathias, Jerome P
Mathias, Jerome P is an individual health care provider with primary practice located at 8121 National Ave Ste 200 , Midwest City OK 73110-7570. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mathias, Jerome P can be contacted via phone (405) 610-3023.Contact Information
Primary practice address
8121 National Ave Ste 200
Midwest City OK 73110-7570
Phone: (405) 610-3023
Fax: (405) 737-8227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 13022 | Oklahoma |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 13022 | Oklahoma |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 13022 | Oklahoma |
Profile Details
| NPI number | 1780780551 |
|---|---|
| LBN Legal business name | Mathias, Jerome P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jun 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780780551 | NPPES |
| Oklahoma | MEDICAID | 100056820A |
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