Individual provider · Type 1 NPI

Ethan James Matthew, MD

Dermatology Physician · Casper, WY

NPI number 1336889559 Active

Practice location

6631 E 2nd St Ste 100
Casper, WY 82609-4355

Fax (307) 243-1199

Mailing address

801 York St
Manitowoc, WI 54220-4630

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X19102A (WY)

Dermatology Physician: 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 an…

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About NPI 1336889559

Ethan James Matthew, MD's National Provider Identifier is 1336889559, issued on Mar 29, 2022. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Casper, WY. The record was last updated on Sep 25, 2026.