THIRD COAST FAMILY PRACTICE
NPI 1205961745
Clinic/Center - Primary Care in Scottville, MI

Active since February 23, 2007
821 W US HIGHWAY 10 31, SCOTTVILLE, MI 49454(231) 757-2500(231) 757-9073 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2021, Feb 12, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Third Coast Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIRD COAST FAMILY PRACTICE (NPI 1205961745) is a healthcare organization registered as a primary care in Scottville, Michigan and active in the NPI registry since February 2007. The organization lists Craig Kenneth Matheson, Owner And Sole Member, as its authorized official.

NPPES Registry Identity

NPI1205961745
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCRAIG K. MATHESON, D.O., P.L.L.C.
Location Address821 W US HIGHWAY 10 31Scottville, MI 49454-9601
Mailing Address821 West U.s. Highway 10Scottville, MI 49454 · (231) 757-2500 · Fax (231) 757-9073
Fax(231) 757-9073
Organization SubpartNo
Authorized OfficialCraig Kenneth MathesonOwner And Sole Member · (231) 757-2500
Enumeration DateFebruary 23, 2007
Last NPPES UpdateFebruary 17, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1205961745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MI · 5101011416
821 W US HIGHWAY 10 31, Scottville, MI 49454

Other Names 1

Doing Business AsThird Coast Family Practice

Other Identifiers 3

OtherCLIAMI · 23d1038209
Other0855301234MI · Blue Cross Blue Shield Id
Medicaid4615194MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
821 W US HIGHWAY 10 31
SCOTTVILLE, MI 49454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig K. Matheson, D.O., P.L.L.C.'s NPI number?

The NPI number for Craig K. Matheson, D.O., P.L.L.C. is 1205961745. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Third Coast Family Practice.

Where is Craig K. Matheson, D.O., P.L.L.C. located?

Craig K. Matheson, D.O., P.L.L.C. is located at 821 W Us Highway 10 31, Scottville, MI 49454. The listed phone number is (231) 757-2500.

What is Craig K. Matheson, D.O., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Craig K. Matheson, D.O., P.L.L.C. was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.