Provider Demographics
NPI:1326034562
Name:MATHEWS, JOHN STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:STEVEN
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 MCGOWAN CT
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6451
Mailing Address - Country:US
Mailing Address - Phone:501-623-6277
Mailing Address - Fax:501-318-0430
Practice Address - Street 1:151 MCGOWAN CT
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6451
Practice Address - Country:US
Practice Address - Phone:501-623-6277
Practice Address - Fax:501-318-0430
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC7720207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR125169001Medicaid
ARC7720OtherARKANSAS MEDICAL LICENSE
AR125169001Medicaid
ARC7720OtherARKANSAS MEDICAL LICENSE