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JUDITH MAKENZIE MATHESS MD (APRIL 28,2024)
NPI 1952153512
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 04, 2024PECOS Enrolled
1 WYOMING STREET, BG020, DAYTON, OH 45409(419) 560-6655 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judith Makenzie Mathess Md (april 28,2024) NPPES

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

JUDITH MAKENZIE MATHESS MD (APRIL 28,2024) (NPI 1952153512) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952153512
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUDITH MAKENZIE MATHESSCredential: MD (APRIL 28,2024)
Location Address1 WYOMING STREET, BG020Dayton, OH 45409
Mailing Address1 Wyoming Street,, Bg020Dayton, OH 45409 · (419) 560-6655
Phone(419) 560-6655
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1952153512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 WYOMING STREET, Dayton, OH 45409
Open in Google Maps ↗

Other Names 1

Former Name (1)Judith Makenzie Clark

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Makenzie Mathess Md (april 28,2024) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

DR. RONALD C CHIU MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 WYOMING STREET, PATHOLOGY LAB
DAYTON, OH 45409
Montgomery County (937) 208-2978
MRS. LISA MARIE TREFZ RN
Registered Nurse (Maternal Newborn)
1 WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-2344
TYRA LINDSEY BENZINGER AA
Anesthesiologist Assistant
1 WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-6173
JUVY M KHOUZAM MD
Anesthesiology
1 WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-6173
ROMMEL CRUZ MORALES MD
Student in an Organized Health Care Education/Training Program
1 WYOMING STREET, BG020
DAYTON, OH 45409
Montgomery County (937) 208-2850
MRS. KELLY LYNN FIELDS
Contractor
1 WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 573-7645
REBEKAH HILL
Specialist/Technologist, Other
1 WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-8000
ROWAN SHIRA BROOKS
Student in an Organized Health Care Education/Training Program
1 WYOMING STREET, BG020
DAYTON, OH 45409
Montgomery County (937) 208-2850

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 Judith Mathess's NPI number?

The NPI number for Judith Mathess is 1952153512. It was assigned to this individual provider in the NPPES registry on April 4, 2024. The provider is also known as Judith Makenzie Clark.

Where is Judith Mathess located?

Judith Mathess practices at 1 Wyoming Street Bg020, Dayton, OH 45409. The listed phone number is (419) 560-6655.

What is Judith Mathess's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Judith Mathess enrolled in Medicare?

Yes. Judith Mathess is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Mathess was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.