Individual
DR. JOHN GLENN MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17501 GENERATIONS DR, SOUTH BEND, IN 46635-1589
(574) 234-0049
(574) 251-2861
Mailing address
17501 GENERATIONS DR, SOUTH BEND, IN 46635-1589
(574) 234-0049
(574) 251-2861
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01026543A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084425
ANTHEM
IN
05
—
100223380A
—
IN
01
—
110082368
RAILROAD MEDICARE
IN
01
—
2010421004
CIGNA
IN
01
—
4359074
AETNA
IN
Enumeration date
05/24/2005
Last updated
10/04/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us