DR. TIMOTHY MATTISON


Address: 100 Brewster Blvd Bldg H100, Camp Lejeune, NC 28547-2575
Phone: 9104504800

DR. TIMOTHY MATTISON (NPI# 1912977125) 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) 1912977125
Entity Type Individual
Full Name DR. TIMOTHY MATTISON
Credential DO
Practice Address 100 Brewster Blvd Bldg H100
Camp Lejeune
NC 28547-2575
Mailing Address 2006 Hoods Creek Dr
New Bern
NC 28562-9130
Practice Telephone 9104504800
Enumeration Date 2006-01-23
Last Update Date 2020-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
0102201360 VA Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
2019-01943 NC Allopathic & Osteopathic Physicians

Other Providers TIMOTHY MATTISON

NPI Name Taxonomy Address Enumeration
1558301861 Timothy D Mattison Dermatology Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 2006-06-07
1578561445 Timothy J Mattison Internal Medicine 5757 Monclova Rd, Ste 15, Maumee, OH 43537-1863 2005-07-13

Office Location

Street Address 100 BREWSTER BLVD BLDG H100
City CAMP LEJEUNE
State NC
Zip Code 28547-2575

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558906032 Abigail Deemer Physician Assistant L Street, Bldg Hp-416, Camp Lejeune, NC 28547 2019-11-08
1407406267 Michelle Ferricher Nurse Practitioner Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 2019-09-13
1215595566 Kayla L Torrez Chang General Practice Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 2019-06-02
1699338442 Amanda Leigh Jepsen Military Health Care Provider Naval Medical Center; 100 Brewster Blvd, Camp Lejeune, NC 28547 2019-04-17
1306336995 Erik Reid King Physician Assistant F Street Bldg. Hp206, Camp Lejeune, NC 28547 2018-05-18
1114434032 David John Mcdermott Specialist/Technologist Bldg. H1 Julian C Smith Rd., Camp Lejuene, NC 28547 2017-12-30
1235678434 Nicolle Elizabeth Johnson Occupational Therapist 180 Hospital Corps Blvd., Camp Lejeune, NC 28547 2017-02-21
1427435585 Naval Medical Center Camp Lejeune Military/U.S. Coast Guard Pharmacy Stone St. Extention, Bldg Nh200, Camp Lejeune, NC 28547 2015-04-28
1043634173 Garrett Michael Wren Obstetrics & Gynecology Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 2014-02-10
1245662436 Samuel Maluil Internal Medicine Bldg 124 Wallace Creek, Camp Lejeunce, NC 28547 2013-07-30
Find all providers in zip 28547

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912347725 Scott Thomas Allen Radiology 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 2013-06-26
1821432972 Robert Plympton Rutter Iv Radiology 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 2013-04-19
1295780948 Kristin Mary Wehrung Radiology 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 2006-05-23
1386612745 Aaron M Taylor Radiology 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 2006-03-10
1386615466 Valerie Susanne Strang Radiology 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 2006-01-27
1215907597 James J Mucciarone Radiology 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 2006-01-26
1649240011 Mark Morton Radiology 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547-2538 2006-01-26
1558351932 Kenneth Brian Uy Radiology 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 2005-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700490232 Wake Forest Baptist Imaging, LLC Radiology 861 Old Winston Rd Ste 105, Kernersville, NC 27284-7141 2020-09-02
1770195166 Sonocare, LLC Radiology 2579 Chimney Rock Rd Fl 2, Hendersonville, NC 28792-9181 2020-08-18
1700497492 Raleigh Radiology Imaging Network, LLC Radiology 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 2020-08-14
1144831611 Raleigh Radiology Enterprises, LLC Radiology 101 Lattner Ct Ste 101, Morrisville, NC 27560-9584 2020-08-10
1245859453 Triad Breast Imaging Center, LLC Radiology 3515 W Market St Ste 320, Greensboro, NC 27403-4438 2020-04-09
1265065098 Dylan Moore Radiology 69 Beechwood Rd, Asheville, NC 28805-2329 2020-02-20
1346898632 Mohamed Khalif Osman Warfa Radiology Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 2019-08-29
1568023190 Bay Imaging Consultants Medical Group Inc Radiology 1226 Brickfield Dr., Cary, NC 27519 2019-06-25
1942781455 Mcpc-19, LLC Radiology 2919 Beechtree Dr Ste 1200, Sanford, NC 27330-6934 2018-08-23
1235619321 Sonocare, LLC Radiology 611 Mocksville Ave Ste 203, Salisbury, NC 28144-2738 2018-08-17
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Competitor

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City CAMP LEJEUNE
Zip Code 28547

Improve Information

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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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