DR. KEVIN R MATHISSON (NPI# 1326076639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326076639 |
| Entity Type | Individual |
| Full Name | DR. KEVIN R MATHISSON |
| Credential | M.D. |
| Practice Address |
1075 Central Park Ave Suite 409 Scarsdale NY 10583-3242 |
| Practice Telephone | 9147232020 |
| Practice Fax Number | 9147232011 |
| Mailing Telephone | 9147232020 |
| Mailing Fax Number | 9147232011 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 198609 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1840404 | 05 | |
| NY | FEDERAL TAX ID# | 13-4086556 | 01 |
| Street Address |
1075 CENTRAL PARK AVE SUITE 409 |
| City | SCARSDALE |
| State | NY |
| Zip Code | 10583-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709455 | James R. De Meo | Podiatrist | 1075 Central Park Ave, Ste 401, Scarsdale, NY 10583-3232 | 2005-06-11 |
| 1295385102 | Renata R. Russo | Audiologist | 1075 Central Park Ave, Scarsdale, NY 10583-3242 | 2019-09-13 |
| 1306226279 | Barbara E Solomon | Audiologist-Hearing Aid Fitter | 1075 Central Park Ave, Scarsdale, NY 10583-3242 | 2015-06-04 |
| 1679974323 | Christine Dordulaw | Pediatrics | 1075 Central Park Ave, Scarsdale, NY 10583-3242 | 2014-09-12 |
| 1467865931 | Connect Hearing, Inc. | Audiologist | 1075 Central Park Ave, Scarsdale, NY 10583-3242 | 2014-06-03 |
| 1114345980 | Central Park Licensed Clinical Social Work Services, Pllc | Social Worker | 1075 Central Park Ave, Suite 307, Scarsdale, NY 10583-3242 | 2014-03-31 |
| 1346682242 | Angel Hong | Dentist | 1075 Central Park Ave, Suite 410, Scarsdale, NY 10583-3242 | 2013-07-22 |
| 1427311570 | Julian Bernard Schorr | Internal Medicine | 1075 Central Park Ave, Scarsdale, NY 10583-3242 | 2012-06-22 |
| 1750678330 | Central Park Wellness Center LLC. | Social Worker | 1075 Central Park Ave, 307, Scarsdale, NY 10583-3242 | 2011-07-05 |
| 1619207552 | Shoshana Schwartz | Nurse Practitioner | 1075 Central Park Ave, Scarsdale, NY 10583-3242 | 2009-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
| 1255805891 | Alexa Rose Wernick | Social Worker | 14 Harwood Ct Ste 512514, Scarsdale, NY 10583 | 2019-01-16 |
| 1295205854 | Christiaan Greer | Psychologist | 109 Montgomery Road Suite 203, Scarsdale, NY 10583 | 2018-11-27 |
| 1528537891 | Mobility Pro Pt PC | Physical Therapist | 783 White Plains Rd, Scarsdale, NY 10583 | 2018-11-16 |
| 1255832218 | Rochelle Sanders | Psychologist | 235 Nelson Road, Scarsdale, NY 10583 | 2018-02-26 |
| 1750808408 | Amy L Mittelstadt | Specialist | 9 Sentry Place Tr, Scarsdale, NY 10583 | 2017-08-24 |
| 1356861017 | Amanda Marie Rocco | Pharmacist | 1064 Wilmot Road, Scarsdale, NY 10583 | 2017-06-23 |
| 1609246065 | Safeta Kolenovic | Licensed Practical Nurse | 441 North Central Park Ave., #872, Scarsdale, NY 10583 | 2015-09-29 |
| 1003293168 | Scarsdale Dental Group | Dentist | 14 Harwood Ct., Ste 211, Scarsdale, NY 10583 | 2015-04-28 |
| 1417343484 | Parviz Lalezari | Internal Medicine | One Church Lane, Scarsdale, NY 10583 | 2015-04-07 |
| Find all providers in zip 10583 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861521239 | George James Florakis | Ophthalmology | 110 Brook St, Scarsdale, NY 10583-5136 | 2007-03-03 |
| 1265501480 | Phillip J Calenda Md 2 PC | Ophthalmology | 1075 Central Park Ave Ste 303a, Scarsdale, NY 10583-3244 | 2006-11-06 |
| 1659740686 | Miriam Sue Levy | Ophthalmology | 700 White Plains Rd, Suite 343, Scarsdale, NY 10583-5063 | 2015-09-21 |
| 1841581360 | Marc Andrew Horowitz Md PC | Ophthalmology | 14 Harwood Ct, Suite 209, Scarsdale, NY 10583-4121 | 2011-05-02 |
| 1194964924 | Prabjot Channa, Eye Physician and Surgeon Pllc | Ophthalmology | 700 White Plains Rd, Suite 28, Scarsdale, NY 10583-5063 | 2009-02-18 |
| 1932360997 | Alexandra A Herzlich | Ophthalmology | 110 Brook St, Scarsdale, NY 10583-5136 | 2008-06-23 |
| 1962663997 | Valarie Overton, M.d., Pllc | Ophthalmology | 688 White Plains Rd, Suite 224, Scarsdale, NY 10583-5059 | 2008-06-23 |
| 1427216118 | Scott I Afran Md PC | Ophthalmology | 688 White Plains Rd, Scarsdale, NY 10583-5059 | 2008-05-29 |
| 1730350612 | Deborah J Lipson Md PC | Ophthalmology | 700 White Plains Rd, Suite 343, Scarsdale, NY 10583-5063 | 2008-03-18 |
| 1023288610 | Kevin R Mathisson Md PC | Ophthalmology | 1075 Central Park Ave, Suite 409, Scarsdale, NY 10583-3242 | 2008-03-10 |
| Find all providers in SCARSDALE | ||||
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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.