Richard Nathaniel Mattis (NPI# 1821040247, PAC ID# 7113964958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1821040247 |
| PAC ID by PECOS | 7113964958 |
| Professional Enrollment ID | I20050413000155 |
| Full Name | Richard Nathaniel Mattis |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
1200 E Columbia Ave Colville WA 99114-3354 |
| Phone Number | 5096843701 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345139929 |
| Number of Group Practice Members | 561 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2525 4th Ave N, Suite A, Billings, MT 59101-1312 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| 2525 4th Ave N, Suite 1a, Billings, MT 59101-1312 | 5092221275 | IDEAL OPTION, PLLC |
| 509 W Hanley Ave, Suite 101, Coeur D Alene, ID 83815-8994 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| 509 W Hanley Ave, Suite 101, Coeur D Alene, ID 83815-8994 | 50941602533049 | IDEAL OPTION, PLLC |
| 1200 E Columbia Ave, Colville, WA 99114-3354 | 5096843701 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 1601 2nd Ave N, Suite 300w, Great Falls, MT 59401-3243 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| 5615 Dunbarton Ave, Pasco, WA 99301-8216 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 16528 E Desmet Ct, Spokane, WA 99216-3522 | 5099449440 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 421 S Division St, Spokane, WA 99202-1331 | 5094742100 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 421 S Division St, Suite 2, Spokane, WA 99202-1331 | 5094745858 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| 6208 N Colton Ave, Spokane, WA 99208 | 5092221275 | IDEAL OPTION, PLLC |
| 406 Se 131st Ave, Suite 104, Vancouver, WA 98683-4031 | 5092221275 | IDEAL OPTION, PLLC |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
1200 E COLUMBIA AVE |
| City | COLVILLE |
| State | WA |
| Zip | 99114-3354 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Raluca Teona Muntean | Rheumatology | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Katie L Gomez | Nurse Practitioner | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Lisa Koch | Psychologist, Clinical | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Kevin R Kellogg | Physician Assistant | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Caron M Cook | Physician Assistant | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Martha L Winje | Physician Assistant | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Breanna Bergeron | Registered Dietitian Or Nutrition Professional | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Elizabeth M Jansen | Family Medicine | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Jonathan F Kalisvaart | Urology | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Lacie Bland | Internal Medicine | Providence Health and Services Washington | 1200 E Columbia Ave, Colville, WA 99114-3354 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl H Holling | Ophthalmology | 164 N Main St, Colville, WA 99114-2306 | |
| Melissa A Brooks | Nurse Practitioner | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| James P Mullen | Family Medicine | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Donald L Jackson | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Kelly L Witte | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Marty P Malone | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Jason D Gutzwiler | Chiropractic | 298 S Main St, Suite 208, Colville, WA 99114-2416 | |
| Lynsey R Eveland | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Kenton Mcdougall | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Robert D Sumner | Physical Therapy | 212 W Birch Ave, Colville, WA 99114-2440 | |
| Find all physicians in zip 99114 | |||
| City | COLVILLE |
| Zip Code | 99114 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard Nathaniel Mattis.
| 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.