KENNETH MATTSON


Address: 1764 Scarlett Ave, North Port, FL 34289-9476
Phone: 9414561121

KENNETH MATTSON (NPI# 1568878148) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 242T00000X Perfusionist Technologists, Technicians & Other Technical Service Providers

Other Providers KENNETH MATTSON

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

Office Location

Street Address 1764 SCARLETT AVE
City NORTH PORT
State FL
Zip Code 34289-9476

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 242T00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Perfusionist

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City NORTH PORT
Zip Code 34289

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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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