Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan James Matthew, MD

Individual provider Dermatology Physician · NPI 1336889559

Ethan James Matthew, MD is a Dermatology in Casper, Wyoming. Qualified in 2022, 4 years ago. Works from 3 locations. Licensed in Wyoming.

Years since qualifying
4
Licensed in
WY
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6631 E 2nd St Ste 100
Casper, WY 82609-4355
Phone: (307) 243-1155
Fax: (307) 243-1199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1119 E 3rd St, Casper, WY 82601-2905 — (307) 266-2772
  • 700 E Center St, Douglas, WY 82633-2446 — (307) 243-1477

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 19102A (WY)

Record details

NPI number1336889559
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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