JESSE MATTESON


Address: 208 Medical Park Blvd, Bristol, TN 37620-7343
Phone: 4239903012

JESSE MATTESON (NPI# 1578096632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578096632
Entity Type Individual
Full Name JESSE MATTESON
Practice Address 208 Medical Park Blvd
Bristol
TN 37620-7343
Mailing Address 63 East 225 Apt 405
Knoxville
TN 37919
Practice Telephone 4239903012
Mailing Telephone 4234396618
Enumeration Date 2017-04-06
Last Update Date 2020-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 04681 KY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JESSE MATTESON

NPI Name Taxonomy Address Enumeration
1811445802 Jesse Matteson Occupational Therapist 5651 Pavilion Way, Fort Ann, NY 12827-2515 2016-09-19

Office Location

Street Address 208 MEDICAL PARK BLVD
City BRISTOL
State TN
Zip Code 37620-7343

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205835402 Leonard Brian Cross Pharmacist 208 Medical Park Blvd, Bristol, TN 37620 2005-07-19
1124649116 Jessie Paige Feathers Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-04-30
1740800150 Luke M Hall Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-04-26
1487274916 Kayla Arthur Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-04-24
1639798408 Anne Abram Jarrell Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-04-13
1689201691 Donald K Huffman Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-03-27
1376170514 Nathan Bolton Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-03-26
1134756547 Kendra Mackenzie Henderson Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-03-25
1013544774 Jeffrey Blackwell Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2020-03-24
1457814873 Danielle Lynn Jones Weston Student in an Organized Health Care Education/Training Program 208 Medical Park Blvd, Bristol, TN 37620-7343 2019-04-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376180216 Firstep, LLC Psychiatry & Neurology 3183 W. State St., Suite 1201, Bristol, TN 37620 2019-12-10
1578047726 Amanda Harville Mcgrady Psychologist 105 Walnut Circle, Bristol, TN 37620 2018-09-23
1467932533 Teresa Mooney Nurse Practitioner 324 Leslie Ct, Bristol, TN 37620 2018-08-17
1992285308 Jeremy Aurbrey Blanzy Nurse Practitioner 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 2018-08-15
1255841805 Amanda L Pillion Audiologist 225 Midway Medical Park, Bristol, VA 37620 2017-10-10
1841717717 Joel Blevins Driver 301 Webb Ct, Bristol, TN 37620 2017-08-23
1831579796 Dr. Marie Crawford, Ph.d., Pllc Psychologist 739 Bluff City Highway, Suite 5, Bristol, TN 37620 2015-06-05
1508297169 Cassandra Marie Conry Chiropractor 800 Hill St., Bristol, TN 37620 2013-12-09
1780025874 Laura Leann Lawson-renfro Nurse Practitioner 260 Midway St, Bristol, TN 37620 2013-07-17
1760822365 Ricky Bhimani Internal Medicine 208 Medical Park Boulevard, Bristol, TN 37620 2013-06-27
Find all providers in zip 37620

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689931446 Medexpress Urgent Care, PC - Tennessee Emergency Medicine 2686 W State St, Bristol, TN 37620-1817 2012-04-18
1790066074 Barry J Burton Emergency Medicine 143 King St, Bristol, PA 19007-3106 2011-08-31
1013942739 Craig S Graul Emergency Medicine 104 Manchester Pl, Bristol, TN 37620-6632 2006-07-11
1285686451 Joseph Sabry Radawi Emergency Medicine 2726 W State St, Bristol, TN 37620-1827 2006-05-16
1992779912 James P. Walden Emergency Medicine 1215 Farmington Ave, Bristol, CT 06010 2006-02-15
1144224783 Theodore Thompson Emergency Medicine 1220 Volunteer Pkwy, Bristol, TN 37620-4628 2005-06-10
1629071972 Joanne Blow Emergency Medicine 201 Forest Hills Dr, Bristol, TN 37620-2708 2005-05-31
1093052367 Emergency Associates of Lower Bucks Emergency Medicine 501 Bath Road, Bristol, PA 19007 2013-01-07
1598033342 Mep of Bristol, LLC Emergency Medicine Brewster Road, Bristol, CT 06011-0977 2011-12-08
1558642330 Emergency Medical Associates of Connecticut PC Emergency Medicine 41 Brewster Rd, Bristol, CT 06010-5161 2011-09-07
Find all providers in BRISTOL

Competitor

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City BRISTOL
Zip Code 37620

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Dataset Information

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.

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