MS. SUSAN ELIZABETH MATTSON (NPI# 1518992320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518992320 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ELIZABETH MATTSON |
| Credential | NP |
| Practice Address |
221 Fitzgerald Dr New Bedford MA 02745-3426 |
| Mailing Address |
Po Box 72 76 Pleasant Street Marion MA 02738-0002 |
| Practice Telephone | 5089964600 |
| Mailing Telephone | 5087481445 |
| Mailing Fax Number | 5087480461 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
138353 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0701386 | 05 |
| Street Address |
221 FITZGERALD DR |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02745-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053343822 | Phonedoctorx, LLC | Emergency Medicine | 221 Fitzgerald Dr, New Bedford, MA 02745-3426 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318272 | Sandra Thelma Malek | Physical Therapist | 748 Ashley Blvd, New Bedford, MA 02745 | 2019-04-02 |
| 1497290829 | Southcoast Hair Options | Prosthetist | 2082 Acushnet Ave., New Bedford, MA 02745 | 2016-12-20 |
| 1154665792 | Christine M. Homen Msw,licsw | Community/Behavioral Health | 32 Welby Road, Suite 114b, New Bedford, MA 02745 | 2012-11-20 |
| 1679858286 | Brian E Lang | Pharmacist | 1737acushnet Ave, New Bedford, MA 02745 | 2011-10-14 |
| 1063793826 | Internal Medicine and Preventive Care, P.C. | Clinic/Center | 130 Virgo Dr, New Bedford, MA 02745 | 2011-09-07 |
| 1942447289 | Dental Dreams, LLC | Dentist | 1054 Kings Highway, New Bedford, MA 02745 | 2009-01-08 |
| 1437314374 | Mary Lou Marques | Durable Medical Equipment & Medical Supplies | 1980 Acushnet Avenue, New Bedford, MA 02745 | 2008-07-21 |
| 1871751958 | Deborah M Okafor | Occupational Therapist | 27 Maddie Dr, New Bedford, MA 02745 | 2008-05-27 |
| 1114192457 | Lucia Vargas Williams | Social Worker | 1121 Ashley Blvd., New Bedford, MA 02745 | 2008-04-28 |
| 1386825776 | Pine Grove Chiropractic, P.C. | Chiropractor | 934 Ashley Boulevard, New Bedford, MA 02745 | 2007-11-14 |
| Find all providers in zip 02745 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891128708 | Tiffini Mari Reedy | Nurse Practitioner | 888 Purchase St Unit 1, New Bedford, MA 02740-6233 | 2013-08-14 |
| 1952519969 | Richard Stephen Ferri | Nurse Practitioner | 98 North Front Street, 3rd Floor, New Bedford, MA 02740 | 2007-05-21 |
| 1881136901 | Alexandra Mcclellan Haggerty | Nurse Practitioner | 92 Grape St, New Bedford, MA 02740-2143 | 2016-11-07 |
| 1790131894 | David Sanchez | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2016-05-06 |
| 1518369222 | Patricia Baptiste | Nurse Practitioner | 101 Page St, New Bedford, MA 02740-3464 | 2014-09-24 |
| 1861809923 | Cori Michelle O'neill | Nurse Practitioner | 651 Orchard St, Suite 100, New Bedford, MA 02744-1008 | 2014-07-21 |
| 1245589506 | Thomas Randal Viveiros | Nurse Practitioner | 651 Orchard St, New Bedford, MA 02744-1008 | 2012-09-02 |
| 1205193018 | Dina Bendavid | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2012-04-18 |
| 1043583206 | Gayle Elise Davis | Nurse Practitioner | 101 Page St, New Bedford, MA 02740-3464 | 2012-02-20 |
| 1306122510 | Shawna Hughes | Nurse Practitioner | 874 Purchase St, New Bedford, MA 02740-6232 | 2011-11-01 |
| Find all providers in NEW BEDFORD | ||||
| City | NEW BEDFORD |
| Zip Code | 02745 |
Please comment or provide details below to improve the information on MS. SUSAN ELIZABETH MATTSON.
| 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.