JOAN C. MATTSON (NPI# 1740240100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740240100 |
| Entity Type | Individual |
| Full Name | JOAN C. MATTSON |
| Credential | M.D. |
| Practice Address |
15344 Club Course Dr Bath MI 48808-8797 |
| Practice Telephone | 5176414264 |
| Practice Fax Number | 5176414683 |
| Mailing Telephone | 5176414264 |
| Mailing Fax Number | 5176414683 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
4301029816 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
15344 CLUB COURSE DR |
| City | BATH |
| State | MI |
| Zip Code | 48808-8797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701827 | Ann Marie Flermoen | Dentist | 5815 E Clark, Suite D, Bath, MI 48808-0395 | 2006-07-31 |
| 1124480272 | Carl William Thomas | Technician, Other | 14680 Abbey Ln Apt B4, Bath, MI 48808-6701 | 2016-03-27 |
| 1316493729 | Deja Lymon | Technician, Other | 14565 Abbey Ln, Apt A7, Bath, MI 48808-7714 | 2016-08-27 |
| 1588156467 | Belinda Salalila Gallardo | Technician | 14510 Abbey Ln Apt A11, Bath, MI 48808-7721 | 2018-06-05 |
| 1427487230 | Robert Koehl | Pharmacist | 4364 Sleight Rd, Bath, MI 48808-8404 | 2013-11-02 |
| 1134511223 | Jaime Abudaya | Registered Nurse | 11176 Upton Rd, Bath, MI 48808-8427 | 2015-02-26 |
| 1588275176 | Alison Nicole Moore | Behavior Technician | 13287 Center Rd, Bath, MI 48808-8438 | 2020-08-16 |
| 1790882629 | Bath Pharmacy Inc | Pharmacy | 14043 Webster Rd, Bath, MI 48808-8711 | 2006-09-20 |
| 1962783506 | Sandberg Family Chiropractic Pllc | Chiropractor | 5815 Clark Rd, Suite A, Bath, MI 48808-8789 | 2011-09-08 |
| 1669610507 | Michael Andrew Mcdonald | Pharmacist | 11405 Dunmaglas Dr, Bath, MI 48808-9303 | 2009-01-30 |
| Find all providers in zip 48808 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| 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 Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902231848 | Catherine I Socec | Pathology | 4201 Saint Antoine St Ste 3e-1, Detroit, MI 48201-2153 | 2013-09-11 |
| 1508164021 | Tapan Mahendra Bhavsar | Pathology | 4201 Saint Antoine St # 2s-13, Detroit, MI 48201-2153 | 2011-03-08 |
| 1306952510 | Rajan Dewar | Pathology | 500 Kirts Blvd Ste 100, Troy, MI 48084 | 2006-08-21 |
| 1427413954 | Jie Yan | Pathology | 2799 W Grand Blvd, Detroit, MI 48202 | 2015-12-29 |
| 1467834523 | Lauren Michele Stanoszek | Pathology | 1301 Catherine Street, 4232 Med Sci I, Ann Arbor, MI 48109-5602 | 2015-06-25 |
| 1356723415 | Steven Carl Weindorf | Pathology | 1105 Sixth St, Traverse City, MI 49684-2345 | 2015-06-25 |
| 1306266804 | Yi Wang | Pathology | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2014-04-23 |
| 1932403482 | Rashi Singhal Gupta | Pathology | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2010-12-26 |
| 1013232859 | Winston Yuhsien Lee | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-04-05 |
| 1699902130 | Daniel F Boyer | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2009-06-11 |
| Find all providers with the same taxonomy | ||||
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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.