Provider Demographics
NPI:1881610632
Name:MATHERS, JAMES L (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:MATHERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 BOULDERS PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5545
Mailing Address - Country:US
Mailing Address - Phone:804-282-1366
Mailing Address - Fax:804-282-1487
Practice Address - Street 1:1000 BOULDERS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-5545
Practice Address - Country:US
Practice Address - Phone:804-320-4243
Practice Address - Fax:804-560-5585
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028966207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006000681Medicaid
VA4800029OtherUNITED HEALTHCARE
VA81754OtherMAMSI PROVIDER NUMBER
VA188417OtherANTHEM PROVIDER NUMBER
VA557515OtherAETNA NON HMO
VA59259OtherSOUTHERN HEALTH
VA31395OtherCARENET PROVIDER NUMBER
VA021783OtherCIGNA
VA188417OtherANTHEM HEALTHKEEPERS
VA290003782OtherMEDICARE RAILROAD
VA00685400OtherBLACK LUNG PROVIDER NUMBE
NJ0175021Medicaid
VAC47024Medicare UPIN
VA006000681Medicaid