DR. STEPHEN D MATTSON (NPI# 1164407474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164407474 |
Entity Type | Individual |
Full Name | DR. STEPHEN D MATTSON |
Credential | M.D. |
Practice Address |
3475 N Saratoga St Oak Harbor WA 98278-4927 |
Practice Telephone | 3602579836 |
Mailing Telephone | 3602579836 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2007-10-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | MD00042954 | WA | Other Service Providers |
Street Address |
3475 N SARATOGA ST |
City | OAK HARBOR |
State | WA |
Zip Code | 98278-4927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164428116 | Jeffrey Howard Davis | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2005-06-23 |
1467061978 | Michelle Kathryn Papadakis | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-07-30 |
1497376362 | Carrie Crucian | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2020-05-02 |
1538721949 | Tracy Dean | Registered Nurse | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2019-07-05 |
1487174108 | Byron William Crow | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-23 |
1962932285 | Mary Claire Gundayao Matro | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
1093245359 | Chaney Foote | Dental Hygienist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2017-06-19 |
1073048773 | Lori Bjork | General Practice | 3475 N Saratoga St, Oak Harbor, WA 98278-5000 | 2017-05-01 |
1114478112 | Amy Ziezulewicz | Family Medicine | 3475 N Saratoga St, Oak Harbor, WA 98278 | 2016-10-14 |
1427504091 | Nathan Nakano | Dentist | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2016-09-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417219510 | Jonathan Glover Seavey | Orthopaedic Surgery | 3475 N Saratoga St Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278 | 2012-06-13 |
1073020715 | Cassidy West-santos | Student in an Organized Health Care Education/Training Program | 3475 N Saratoga Street Naval Health Clinic Oak Harbor, Oak Harbor, WA 98278-0001 | 2018-01-03 |
1104105766 | Elise Cooper Brandon | Family Medicine | 3475 Saratoga Ave, Oak Harbor, WA 98278-0001 | 2011-08-12 |
1417268780 | Peter Lee Sone | Family Medicine | Naval Health Clinic Oak Harbor 3475 N Saratoga Ave, Oak Harbor, WA 98278-0001 | 2010-07-01 |
1396710935 | David James Damstra | Family Medicine | 9475 N. Saratoga, Oak Harbor, WA 98278-0001 | 2006-02-17 |
1215900139 | Mary Lou Stewart | Dentist | 3475 W Saratoga St, Oak Harbor, WA 98278-0001 | 2006-02-10 |
1396725172 | Michael J Oras | Preventive Medicine | Eodmu 11, 180 W Tulagi Ave, Oak Harbor, WA 98278-0001 | 2006-01-18 |
1043299647 | Herbert Anthony Johnson Jr. | Physician Assistant | Behavioral Health Clinic, Sarp, Naval Hospital, Oak Harbor, WA 98278-0001 | 2006-01-11 |
1790764710 | Jonie L. Mcbee | Nurse Practitioner | Naval Hospital Oak Harbor, 3475 N. Saratoga St., Oak Harbor, WA 98278-0001 | 2006-01-10 |
1437137569 | Mitchell Matthew Paynter | Dentist | Naval Hospital Oak Harbor Nas Whidbey Island, 3475 N. Saratoga St, Oak Harbor, WA 98278-0001 | 2006-01-09 |
Find all providers in zip 98278 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699324962 | Elizabeth Thi Nguyen | Military Health Care Provider | 27831 37th Ave S, Auburn, WA 98001-1065 | 2019-09-09 |
1760996235 | Brian Scott Loomis | Military Health Care Provider | 701 Hospital Loop Ste 42, Fairchild Afb, WA 99011-8702 | 2017-11-20 |
1144549379 | Samantha Colleen Myers | Military Health Care Provider | 2000 W Marine View Dr # 2134, Everett, WA 98207-2900 | 2010-05-27 |
1306020359 | Felipson Zabala Ramos Jr. | Military Health Care Provider | 2001 Sixth Ave, Suite 2705, Us Air Force, Seattle, WA 98312-2547 | 2007-12-27 |
1437367257 | Pin Y Yau | Military Health Care Provider | 4735 E Marginal Way S, Seattle, WA 98134-2388 | 2007-05-18 |
1700940434 | Charles Edwin Olson | Military Health Care Provider | One Boone Rd, Bremerton, WA 98312 | 2006-12-20 |
1013013309 | Michael Matthew Dickman | Military Health Care Provider | 9040 Jackson Avenue Family Medicine Department, Tacoma, WA 98431 | 2006-09-15 |
1003920380 | Norman Albert Gosch | Military Health Care Provider | 17th and C St., Bldg. 11582, Fort Lewis, WA 98433 | 2006-08-17 |
1982662169 | Marvin J Gottschall | Military Health Care Provider | 701 Hospital Loop 92 Mdg, Ste 132, Fairchild Afb, WA 99011 | 2006-05-04 |
1518935931 | Eric A. Lange | Military Health Care Provider | 312 Fitzsimmons Ave, Tacoma, WA 98341 | 2006-03-10 |
Find all providers with the same taxonomy |
City | OAK HARBOR |
Zip Code | 98278 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.