National Provider Identifier
Jason Gordon Mathis, M.D.
Jason Gordon Mathis, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Rochester, NY and a listed phone number of (585) 275-2222.
Profile Overview
- NPI
- 1982022497
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- April 01, 2014
- Last Updated
- November 20, 2021
Practice Location
- 601 Elmwood Ave
- Box 697
- Rochester, NY 14642
Phone: (585) 275-2222
Mailing Address
- 601 Elmwood Ave
- Box 697
- Rochester, NY 14642-0001
Specialties
- Dermatology Physician (207N00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Endpoints
- jmathis304259@direct.med.utah.edu
Direct Messaging Address | Direct | Other | University Of Utah | Salt Lake City, UT 84132
Full Record
- NPI
- 1982022497
- Entity Type
- Individual
- Last Name
- Mathis
- First Name
- Jason
- Middle Name
- Gordon
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 697
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2222
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 697
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642
- Practice Country
- US
- Practice Phone
- (585) 275-2222
- Enumeration Date
- April 01, 2014
- Last Updated
- November 20, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X), Student in an Organized Health Care Education/Training Program (390200000X)