KENNETH MATTSON (NPI# 1568878148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568878148 |
Entity Type | Individual |
Full Name | KENNETH MATTSON |
Credential | C.C.P. |
Practice Address |
1764 Scarlett Ave North Port FL 34289-9476 |
Practice Telephone | 9414561121 |
Mailing Telephone | 9414561121 |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386852465 | Kenneth D. Mattson | Dentist | 600 Tiffin Ave, Findlay, OH 45840-5762 | 2007-05-20 |
1285763011 | Kenneth Mattson | Specialist/Technologist | 425 Grand Ave, Billings, MT 59101-5924 | 2007-03-05 |
Street Address |
1764 SCARLETT AVE |
City | NORTH PORT |
State | FL |
Zip Code | 34289-9476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477085439 | Heather Proctor | Counselor | 2571 N Toledo Blade Blvd Unit 3, North Port, FL 34289 | 2017-03-29 |
1649538281 | Lisa Beth Gussin | Counselor | 2562 Commerce Parkway, North Port, FL 34289 | 2012-05-02 |
1790090538 | Flagel Pediatric & Family Medicine P A | Clinic/Center | 2572 Commerce Parkway, North Port, FL 34289 | 2010-08-17 |
1427101773 | Belinda Alma | Counselor | 2564 Commerce Pkwy., Suite 1, North Port, FL 34289 | 2007-01-19 |
1659477727 | Mark C Burne | Dentist | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2006-09-16 |
1710119177 | North Port Oral Surgery Inc. | Clinic/Center | 2787 Sycamore St, Building F, Suite 106, North Port, FL 34289 | 2009-08-19 |
1184885014 | Maytal Adlersberg | Physical Therapy Assistant | 2334 Rosewood Ln, North Port, FL 34289-1404 | 2008-06-23 |
1578698346 | Daniela Sodre | Speech-Language Pathologist | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2007-02-22 |
1316551765 | Heather Sifford | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-09-03 |
1619590460 | Cassie Wills | Behavior Technician | 2565 N Toledo Blade Blvd, North Port, FL 34289-9306 | 2020-05-27 |
Find all providers in zip 34289 |
Taxonomy Code | 242T00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Perfusionist |
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144883026 | Lice Clinics of America Dade County | Perfusionist | 175 Fontainebleau Blvd Ste 1h, Miami, FL 33172-7012 | 2019-04-17 |
1942778527 | Patrick Thomas Davis | Perfusionist | 307 Burnt Pine Dr, Naples, FL 34119-9775 | 2018-11-13 |
1205376415 | Lice Away Today LLC | Perfusionist | 4308 W El Prado Blvd, Tampa, FL 33629-8405 | 2017-03-07 |
1124493226 | Franco Mora | Perfusionist | 1753 Sw 13th St, Unit # 4, Coral Gables, FL 33145-1477 | 2015-12-01 |
1215300454 | Ranie-ann Dominique Brown | Perfusionist | 3221 Nw 45th Ter, Lauderdale Lakes, FL 33319-5744 | 2015-11-10 |
1386021939 | John M Ingram Jr. | Perfusionist | 9632 Nw 7th Cir, Apt 1718, Plantation, FL 33324-7533 | 2015-05-04 |
1477967941 | Tunisia Ellis Penta | Perfusionist | 5801 Mango Cir, Naples, FL 34110-3403 | 2014-06-12 |
1720491012 | Shawn Phillips | Perfusionist | 17080 Safety St, Suite 109, Fort Myers, FL 33908-7506 | 2014-06-04 |
1669607131 | Hamandi Corporation | Perfusionist | 8813 Pinto Drive, Lake Worth, FL 33467 | 2009-05-27 |
1255802740 | Justin Kermit James Saffle | Perfusionist | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2018-12-10 |
Find all providers with the same taxonomy |
City | NORTH PORT |
Zip Code | 34289 |
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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.