Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063890200 Individual Practitioner Male Practitioner

Dr. Jonathan Mathis , MD

Pediatrics • Gallipolis, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Mathis, MD is a registered healthcare professional specializing in Pediatrics in Gallipolis, OH. Practice services are available at 100 JACKSON PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Jackson Pike

Gallipolis, OH 45631

Telephone 8554465937
Fax 7404465711
Associated Practice Facility / Clinic
🏢 Holzer Clinic, Llc Facility NPI 1508817248

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gallipolis, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Gallipolis, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.133539

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License SC LL38060

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003511510

Doctor of Osteopathic Medicine (D.O.)

Dr. Utpal Bhanja , MD

Internal Medicine - Hematology & Oncology

NPI 1003801689

Doctor of Medicine (M.D.)

David Grimm , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003906421

Certified Registered Nurse Anesthetist

NPI 1013948694

Doctor of Medicine (M.D.)

Dr. Charles Bishop , MD

Orthopaedic Surgery

NPI 1023428653

Doctor of Medicine (M.D.)

Kayla Shato

Nurse Practitioner

NPI 1033947320

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 17, 2018

Registered at 100 JACKSON PIKE, GALLIPOLIS, OH 45631 (Tel: 8554465937)

📍
Updated Business Mailing Address July 17, 2018

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311562 (Tel: 7404411934)

👤
Provider Name / Credentials Updated July 17, 2018

Recorded as JONATHAN MATHIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2018

Pediatrics (License #35.133539 in OH)

NPI Profile Active May 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2015

Registered at 169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 294258905 (Tel: 8437928972)

📍
Updated Business Mailing Address May 08, 2015

Registered at 169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 294258905

👤
Provider Name / Credentials Updated May 08, 2015

Recorded as JONATHAN MATHIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2015

Pediatrics (License #LL38060 in SC)

🟢
Initial NPI Registration & Enumeration May 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063890200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2015
Last Update: October 26, 2020
Sole Proprietor: Yes

Mailing Address

90 Jackson Pike

Gallipolis, OH 456311562

Phone: 7404411934

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.