DR. SANDRA P MATTISON (NPI# 1174780464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174780464 |
| Entity Type | Individual |
| Full Name | DR. SANDRA P MATTISON |
| Credential | MD |
| Practice Address |
115 Technology Dr Unit A200 Trumbull CT 06611-6338 |
| Practice Telephone | 2032682239 |
| Practice Fax Number | 2032689143 |
| Mailing Telephone | 2032682239 |
| Mailing Fax Number | 2032689143 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MT191489 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
115 TECHNOLOGY DR UNIT A200 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-6338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487003638 | Shaida Molloy | Obstetrics & Gynecology | 115 Technology Dr Unit A200, Trumbull, CT 06611-6338 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658186 | Amy Frassetto | Obstetrics & Gynecology | 40 Robinwood Rd, Trumbull, CT 06611-4924 | 2017-09-25 |
| 1164803003 | Ashley Rachelle Christensen | Obstetrics & Gynecology | 5520 Park Ave Ste 302, Trumbull, CT 06611-3466 | 2015-06-16 |
| 1780990358 | Paul Robert Ramirez | Obstetrics & Gynecology | 26 Jade Tree Ln, Trumbull, CT 06611-1143 | 2010-08-20 |
| 1790840809 | Roxanne C Abder | Obstetrics & Gynecology | 5520 Park Avenue Suite, Women's Health of Trumbull, Trumbull, CT 06611 | 2006-12-27 |
| 1134123797 | Robert Deal | Obstetrics & Gynecology | 999 Silver Ln, Ste 2a, Trumbull, CT 06611-5343 | 2005-06-10 |
| 1487003638 | Shaida Molloy | Obstetrics & Gynecology | 115 Technology Dr Unit A200, Trumbull, CT 06611-6338 | 2016-06-08 |
| 1730594821 | Sharon Dragich | Obstetrics & Gynecology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2014-06-26 |
| 1205191889 | Anupama Narla | Obstetrics & Gynecology | 115 Technology Dr, B 107, Trumbull, CT 06611-6337 | 2012-07-10 |
| 1013275452 | Lily Bayat | Obstetrics & Gynecology | 115 Technology Dr, Trumbull, CT 06611 | 2012-04-23 |
| 1366753642 | Radhika Srikant Datar | Obstetrics & Gynecology | 5520 Park Ave, Suite 302, Trumbull, CT 06611-3463 | 2010-07-01 |
| Find all providers in TRUMBULL | ||||
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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.