SHAWN MATTSON (NPI# 1841671468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841671468 |
| Entity Type | Individual |
| Full Name | SHAWN MATTSON |
| Credential | M.D. |
| Practice Address |
833 Chestnut St Fl 1 Philadelphia PA 19107 |
| Mailing Address |
833 Chestnut St Fl 1 Philadelphia PA 19107-4404 |
| Practice Telephone | 2159555000 |
| Mailing Telephone | 2159555000 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD467252 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MT209630 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 Wolf St, Philadelphia, PA 191482912 | 2159525170 | 2159521432 |
| 2130 Spring Garden St, Philadelphia, PA 191303502 | 2159559555 | 2159550545 |
| 245 N 15th St # Ms 495, Philadelphia, PA 191021101 | 2157628220 | 2157621470 |
| 3 Crescent Dr, Philadelphia, PA 191121016 | 2155037096 |
| Street Address |
833 CHESTNUT ST FL 1 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801854823 | Laniece A Coleman | Advanced Practice Midwife | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2006-05-01 |
| 1407485279 | Tara Sulur | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2020-04-03 |
| 1477182210 | Jennifer Anne Rich | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2020-04-03 |
| 1437788262 | Abigail Nelezen | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2020-04-03 |
| 1326677170 | Melanie Hotz | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2020-04-03 |
| 1821627613 | Victoria Keiser | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2020-04-03 |
| 1083243828 | Alison Gruber | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2020-04-03 |
| 1629502315 | Mari-carmen Farmer | Advanced Practice Midwife | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2017-04-19 |
| 1710411285 | Leandra Santos | Advanced Practice Midwife | 833 Chestnut St Fl 1, Philadelphia, PA 19107 | 2017-04-12 |
| 1194185819 | Julie Visk | Advanced Practice Midwife | 833 Chestnut St Fl 1, Philadelphia, PA 19107-4404 | 2016-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027557 | Tal Avigal Lee | Obstetrics & Gynecology | 1109 Green St Apt 11, Philadelphia, PA 19123-3326 | 2020-06-10 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1477011401 | Diane D. Harrison | Obstetrics & Gynecology | 236 Philip Pl, Philadelphia, PA 19106-3902 | 2019-03-08 |
| 1720570963 | Tiffany Fernandes Gee | Obstetrics & Gynecology | 3401 N Broad St Fl 7, Philadelphia, PA 19140-5189 | 2018-06-04 |
| 1881114742 | Andrea Jasmine Leung | Obstetrics & Gynecology | 5501 Old York Rd # 1-1616, Philadelphia, PA 19141-3018 | 2017-06-22 |
| 1548798093 | Dimitrios Nasioudis | Obstetrics & Gynecology | 3400 Spruce Street, 1 West Gates, Hellen O. Dickens Center for Women's Health, Philadelphia, PA 19104-3123 | 2017-05-30 |
| 1811449697 | West Cayuga Medicine PC | Obstetrics & Gynecology | 257 W Cayuga St, Philadelphia, PA 19140-2439 | 2016-10-27 |
| 1447631536 | Clinton Veselis | Obstetrics & Gynecology | 3401 N Broad St Dept Of, Philadelphia, PA 19140 | 2015-06-15 |
| 1811378979 | Nishanth Sidduri | Obstetrics & Gynecology | 400 W Allegheny Ave Ste 5b, Philadelphia, PA 19133-3614 | 2015-06-15 |
| 1396158820 | Elizabeth Carey Banks | Obstetrics & Gynecology | 800 Walnut St Fl 12, Philadelphia, PA 19107-5176 | 2014-06-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.