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Active NPI 1336889559 Individual Practitioner Male Practitioner

Dr. Ethan James Matthew , MD

Dermatology • Casper, WY

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Matthew, MD is a registered healthcare professional specializing in Dermatology in Casper, WY. Practice services are available at 6631 E 2ND ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6631 E 2nd St Ste 100

Casper, WY 826094355

Telephone 3072431155
Fax 3072431199
Associated Practice Facility / Clinic
🏢 Forefront Dermatology, S.c. Facility NPI 1851223432

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Casper, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Casper, WY (17 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: 2026-07-02
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WY 19102A

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Practice Locations

700 E Center St

Douglas, WY 826332446

Phone: 3072431477

1119 E 3rd St

Casper, WY 826012905

Phone: 3072662772

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 02, 2026

Registered at 6631 E 2ND ST STE 100, CASPER, WY 826094355 (Tel: 3072431155)

📍
Updated Business Mailing Address July 02, 2026

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Dermatology (License #19102A in WY)

NPI Profile Active March 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2022

Registered at 5121 S COTTONWOOD ST, MURRAY, UT 841075701 (Tel: 8015077000)

📍
Updated Business Mailing Address March 29, 2022

Registered at 5121 S COTTONWOOD ST, MURRAY, UT 841075701 (Tel: 8015077000)

👤
Provider Name / Credentials Updated March 29, 2022

Recorded as ETHAN MATTHEW, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2022

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: 1336889559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2022
Last Update: July 02, 2026
Sole Proprietor: No

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

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.