Gregg R Mattison in Fort Wayne - Diagnostic Radiology
Gregg R Mattison - NPI 1023062130
Gregg R Mattison is a Diagnostic Radiology in Fort Wayne, Indiana. Gregg R Mattison practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Gregg R Mattison is 1023062130. The last update date is 2007-07-08.
Gregg R Mattison's current location address is 3707 New Vision Drive, Fort Wayne, Indiana. You can contact this provider via phone number 2604719466 and fax number 2604845919. The mailing address for Gregg R Mattison is 3707 New Vision Drive, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg R Mattison |
|---|---|
| Address | 3707 New Vision Drive, Fort Wayne, Indiana |
| Phone Number | 2604719466 |
| Fax Number | 2604845919 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023062130 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3707 New Vision Drive |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468955602 |
| Phone Number | 2604719466 |
| Fax Number | 2604845919 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 35188 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92615 | IN | ANTHEM | |
| 2100630 | OH | -- | |
| 4074924100 | MI | -- | |
| 1554 | IN | PHP |
Post Comment/ Review Below
What is the unique identifier code issued to Gregg R Mattison by the Centers for Medicare & Medicaid Services (CMS)?
The Gregg R Mattison has been assigned the NPI (National Provider Identifier) 1023062130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Gregg R Mattison is physically located?
The Gregg R Mattison is situated at the following address: 3707 New Vision Drive, Fort Wayne, IN 468955602.
What is Gregg R Mattison's area of expertise and its corresponding taxonomy classification?
The Gregg R Mattison's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gregg R Mattison receive its 1023062130 assignment from the Centers for Medicare & Medicaid Services?
The Gregg R Mattison was assigned its 1023062130 by the Centers for Medicare & Medicaid Services on 2006-05-22.
When was the Gregg R Mattison's information last updated?
The Gregg R Mattison's information was last updated on 2007-07-08.
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