DR. SANDRA P MATTISON

Address: 115 Technology Dr Unit A200, Trumbull, CT 06611-6338
Phone: 2032682239

DR. SANDRA P MATTISON (NPI# 1174780464) 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) 1174780464
Entity Type Individual
Full Name DR. SANDRA P MATTISON
Credential MD
Practice Address 115 Technology Dr Unit A200
Trumbull
CT 06611-6338
Practice Telephone 2032682239
Practice Fax Number 2032689143
Mailing Telephone 2032682239
Mailing Fax Number 2032689143
Enumeration Date 2008-05-22
Last Update Date 2019-01-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MT191489 PA Allopathic & Osteopathic Physicians

Office Location

Street Address 115 TECHNOLOGY DR UNIT A200
City TRUMBULL
State CT
Zip Code 06611-6338

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891214458 Rachel Lopes Social Worker 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 2017-09-14
1588193981 James Geisler Counselor 23 Wilmot Ave., Trumbull, CT 06611 2017-06-08
1215463807 Rodrigo Fernandez Student in an Organized Health Care Education/Training Program 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 2017-05-03
1285087650 Trumbull Pharmacy LLC Pharmacy 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 2016-07-20
1063897601 Camilla Marie Schnaitmann Social Worker 132 Monroe Turnpike, Trumbull, CT 06611 2015-07-24
1194107318 Alison R Kudish Dentist 160 Hawley Ln Ste 101, Trumbull, CT 06611 2015-06-24
1588008452 Rui Zhang Internal Medicine 5520 Park Ave # Wp2-100, Trumbull, CT 06611 2013-04-23
1639456783 Sagar Makanji Pharmacist 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 2011-11-03
1639485956 Beata Everett Social Worker 42 Craig Lane, Trumbull, CT 06611 2010-08-24
1700191590 Dental Center Dentist 5065 Main Street, #1118, Trumbull, CT 06611 2010-08-17
Find all providers in zip 06611

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336658186 Amy Frassetto Obstetrics & Gynecology 40 Robinwood Rd, Trumbull, CT 06611-4924 2017-09-25
1780990358 Paul Robert Ramirez Obstetrics & Gynecology 26 Jade Tree Ln, Trumbull, CT 06611-1143 2010-08-20
1790840809 Roxanne C Abder Obstetrics & Gynecology 5520 Park Avenue Suite, Women's Health of Trumbull, Trumbull, CT 06611 2006-12-27
1134123797 Robert Deal Obstetrics & Gynecology 999 Silver Ln, Ste 2a, Trumbull, CT 06611-5343 2005-06-10
1205191889 Anupama Narla Obstetrics & Gynecology 115 Technology Dr, B 107, Trumbull, CT 06611-6337 2012-07-10
1013275452 Lily Bayat Obstetrics & Gynecology 115 Technology Dr, Trumbull, CT 06611 2012-04-23
1366753642 Radhika Srikant Datar Obstetrics & Gynecology 5520 Park Ave, Suite 302, Trumbull, CT 06611-3463 2010-07-01
1427298462 Donna C Sinclair Obstetrics & Gynecology 5520 Park Ave, Suite 302, Trumbull, CT 06611-3463 2009-03-04
1053572271 Kerry Wright Obstetrics & Gynecology 5520 Park Ave, Suite 302, Trumbull, CT 06611-3463 2008-06-19
1548447428 Joseph A Cuteri Md LLC Obstetrics & Gynecology 965 White Plains Rd, Trumbull, CT 06611-4566 2008-01-23
Find all providers in TRUMBULL

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City TRUMBULL
Zip Code 06611

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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.