Provider Demographics
NPI:1730307976
Name:MATTHEWS, JOHN T III (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:T
Last Name:MATTHEWS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2521
Mailing Address - Fax:717-260-3330
Practice Address - Street 1:2003 SPRINGWOOD RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4836
Practice Address - Country:US
Practice Address - Phone:717-851-2521
Practice Address - Fax:717-260-3330
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD016910E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20090052OtherAMERIHEALTH MERCY
PA2161250OtherMAMSI-WMG
PA000737760Medicaid
PA109230OtherGEISINGER
PA20061853OtherAMERIHEALTH MERCY-WMG
PA210473OtherJOHNS HOPKINS
PA50070353OtherCAPITAL BLUE CROSS-WMG
PAP000307OtherGATEWAY-WMG
PA211140OtherUNISON-WMG
PA263726OtherUNISON-WMG THFP
MD897637OtherCAREFIRST MD BCBS
PA150973OtherHIGHMARK BLUE SHIELD
PA4027998OtherAETNA
PA50084010OtherCAPITAL BLUE CROSS-WMG THFP
PA211140OtherUNISON-WMG
PA150973OtherHIGHMARK BLUE SHIELD
PA2161250OtherMAMSI-WMG
PA4027998OtherAETNA