National Provider Identifier
Ian T Mathews, MD
Ian T Mathews, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (480) 282-1327.
Profile Overview
- NPI
- 1114771300
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 15, 2024
- Last Updated
- April 15, 2024
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (480) 282-1327
Mailing Address
- 6054 E Star Valley St
- Mesa, AZ 85215-9609
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1114771300
- Entity Type
- Individual
- Last Name
- Mathews
- First Name
- Ian
- Middle Name
- T
- Credential
- MD
- Mailing Street Address
- 6054 E Star Valley St
- Mailing City
- Mesa
- Mailing State
- AZ
- Mailing ZIP Code
- 85215-9609
- Mailing Country
- US
- Mailing Phone
- (480) 282-1327
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (480) 282-1327
- Enumeration Date
- April 15, 2024
- Last Updated
- April 15, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)