JESSE MATTESON (NPI# 1578096632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811445802 | Jesse Matteson | Occupational Therapist | 5651 Pavilion Way, Fort Ann, NY 12827-2515 | 2016-09-19 |
Street Address |
208 MEDICAL PARK BLVD |
City | BRISTOL |
State | TN |
Zip Code | 37620-7343 |
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 |
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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 Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
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. |
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 |
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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.