DR. MATTHEW CLIFFORD WILLETT (NPI# 1720328107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720328107 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW CLIFFORD WILLETT |
| Credential | M.D. |
| Practice Address |
102 Valley Rd Middletown RI 02842 |
| Mailing Address |
102 Valley Rd Middletown RI 02842-5237 |
| Practice Telephone | 4012391800 |
| Practice Fax Number | 4012391801 |
| Mailing Telephone | 4012391800 |
| Mailing Fax Number | 4012391801 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD16749 | RI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 132174 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1524 Atwood Ave Ste 321, Johnston, RI 029193228 | 4012391800 | 4012391801 |
| 1525 Wampanoag Trl Ste 203, Riverside, RI 029151038 | 4012391800 | 4012391801 |
| 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 322120140 | 7607253213 | |
| 618 Toll Gate Rd, Warwick, RI 028862717 | 4012391800 | 4012391801 |
| 67 William S Canning Blvd, Tiverton, RI 028783003 | 4012391800 | 4012391801 |
| 851 Main St, Warren, RI 028854402 | 4012391800 | 4012391801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104226018 | Matthew Willett | Specialist/Technologist | 1010 Memorial Way Ste 100, Fort Wayne, IN 46805-1368 | 2014-08-27 |
| 1457541104 | Matthew Christian Willett | Ophthalmology | 2013 State Route 59, Kent, OH 44240-4113 | 2007-07-30 |
| Street Address |
102 VALLEY RD |
| City | MIDDLETOWN |
| State | RI |
| Zip Code | 02842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366547358 | Susan M Bordonaro | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2006-09-14 |
| 1730744483 | Pamela Gadbaw | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-05-08 |
| 1083173421 | Amanda N Fredette | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-03-15 |
| 1902363492 | Jennifer Ann Fisher | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-02-21 |
| 1649746421 | April Bell Brosnan | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2018-10-18 |
| 1801302765 | Alyssa Coogan | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842 | 2017-12-14 |
| 1699204784 | Victoria Lee Comeau | Dermatology | 102 Valley Rd, Middletown, RI 02842-5237 | 2017-06-12 |
| 1164877486 | Rebbecca Shea | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2016-04-25 |
| 1356753974 | Sarah Elizabeth Belden | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2014-06-02 |
| 1457783904 | Meghan Grafton King | Nurse Practitioner | 102 Valley Rd, Middletown, RI 02842-5237 | 2013-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1912425968 | Gail Demarco | Registered Nurse | 127 Johnnycake Hill Road, Middletown, RI 02842 | 2017-08-30 |
| 1790201861 | Logan Christopher Menard | Specialist/Technologist | 4 Orville Drive, Middletown, RI 02842 | 2017-08-20 |
| 1295149714 | Jacquelyn Marez | Occupational Therapy Assistant | 1998 West Main Rd, Middletown, RI 02842 | 2014-06-12 |
| 1144660465 | Brittney Lea Barry | Audiologist | Naval Health Clinic New England 43 Smith Rd., Newport, RI 02842 | 2013-07-01 |
| 1912262445 | Wendy S Drysdale | Student in an Organized Health Care Education/Training Program | 372 Purgatory Road, St. George's School, Middletown, RI 02842 | 2012-07-11 |
| 1912294778 | Laurie B Phenix | Pharmacist | 88 Silva Lane, Tech 4, Suite 110, Middletown, RI 02842 | 2011-06-30 |
| 1023278249 | Ann Marie Efflandt | Speech-Language Pathologist | 333 Green Ave, Middletown, RI 02842 | 2008-06-11 |
| 1669631487 | Tiffany Bourquin | Counselor | 575 E Main Rd Unit 4, Middletown, RI 02842 | 2008-06-06 |
| 1104048396 | Valley Primary Care Inc | Family Medicine | 294 Valley Road, Middletown, RI 02842 | 2007-05-03 |
| Find all providers in zip 02842 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316969694 | Jason Michaels | Dermatology | 102 Valley Road, Middletown, RI 02842-5237 | 2006-07-24 |
| 1093765307 | Salvatore Sciurba | Dermatology | 1000 Route 35 Ste 200, Middletown, NJ 07748-2606 | 2006-05-10 |
| 1699204784 | Victoria Lee Comeau | Dermatology | 102 Valley Rd, Middletown, RI 02842-5237 | 2017-06-12 |
| 1376089003 | Middlesex Dermatology, LLC | Dermatology | 11 S Main St, Middletown, CT 06457-3656 | 2017-01-19 |
| 1356753974 | Sarah Elizabeth Belden | Dermatology | 102 Valley Rd, Middletown, RI 02842 | 2014-06-02 |
| 1316357486 | Qiujie Jiang | Dermatology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2014-04-29 |
| 1336475193 | George Woolf Md PC | Dermatology | 210 East Main Street, Middletown, NY 10940-4088 | 2009-10-28 |
| 1063618767 | Valerie A Gershenhorn | Dermatology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2007-06-21 |
| 1487602017 | Hanna Kim | Dermatology | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2006-05-05 |
| 1619978558 | George Woolf | Dermatology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-08-02 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 02842 |
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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.