Susan M Mattison (NPI# 1164874947, PAC ID# 0648567107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1164874947 |
PAC ID by PECOS | 0648567107 |
Professional Enrollment ID | I20160927001238 |
Full Name | Susan M Mattison |
Organization Legal Name | UNITY FAMILY HEALTHCARE |
Address |
250 White Oak Dr Randall MN 56475-4502 |
Phone Number | 3207492877 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9830003516 |
Number of Group Practice Members | 41 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241370 | ST GABRIELS HOSPITAL |
240036 | ST CLOUD HOSPITAL |
Address | Phone | Organization |
---|---|---|
250 White Oak Dr, Randall, MN 56475-4502 | 3207492877 | UNITY FAMILY HEALTHCARE |
Organization Legal Name | UNITY FAMILY HEALTHCARE |
Physicians | 37 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michelle Renee Lanning | Nurse Practitioner | Unity Family Healthcare | 200 1st Ave Se, Pierz, MN 56364-4138 |
Mary Br Clifton | Hospitalist | Unity Family Healthcare | 811 2nd St Se A, Little Falls, MN 56345-3505 |
Virgil J Meyer | Orthopedic Surgery | Unity Family Healthcare | 1108 Se 1st St, Little Falls, MN 56345-3440 |
David R Jorgensen | Orthopedic Surgery | Unity Family Healthcare | 1108 1st St Se, Little Falls, MN 56345-3440 |
Gregory J Anderson | Certified Registered Nurse Anesthetist (crna) | Unity Family Healthcare | 815 2nd St Se, Little Falls, MN 56345-3505 |
James H Attarian | Internal Medicine | Unity Family Healthcare | 815 2nd St Se, Little Falls, MN 56345-3505 |
Daniel V Enderlin | Podiatry | Unity Family Healthcare | 1108 1st St Se, Little Falls, MN 56345-3440 |
Barbara A Frey Brown | Nurse Practitioner | Unity Family Healthcare | 815 2nd St Se, Little Falls, MN 56345-3505 |
David E Edgerton | Orthopedic Surgery | Unity Family Healthcare | 1108 1st St Se, Little Falls, MN 56345-3440 |
Lisa A Germscheid | Family Medicine | Unity Family Healthcare | 200 1st Ave Se, Pierz, MN 56364-4138 |
Street Address |
250 WHITE OAK DR |
City | RANDALL |
State | MN |
Zip | 56475-4502 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer A Wesenberg | Family Medicine | Unity Family Healthcare | 250 White Oak Dr, Randall, MN 56475-4502 |
City | RANDALL |
Zip Code | 56475 |
Specialty | NURSE PRACTITIONER |
City + Specialty | RANDALL + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.