Mark Anthony Mattos (NPI# 1255374955, PAC ID# 8325075757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1255374955 |
| PAC ID by PECOS | 8325075757 |
| Professional Enrollment ID | I20050718000806 |
| Full Name | Mark Anthony Mattos |
| Organization Legal Name | VASCULAR SURGERY ASSOC PC |
| Address |
5202 Miller Rd Flint MI 48507-1040 |
| Phone Number | 8106000560 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 2567443559 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230141 | MCLAREN FLINT |
| 230197 | GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK |
| 230132 | HURLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5020 W Bristol Rd, Flint, MI 48507-2919 | 8107321620 | VASCULAR SURGERY ASSOC PC |
| 5202 Miller Rd, Flint, MI 48507-1040 | 8106000560 | VASCULAR SURGERY ASSOC PC |
| Organization Legal Name | VASCULAR SURGERY ASSOC PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Sue Cook | Nurse Practitioner | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Patricia A Perrine | Nurse Practitioner | Vascular Surgery Assoc PC | 1122 S Lapeer Rd C, Lapeer, MI 48446-3387 |
| Karen Driskill | Nurse Practitioner | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Kristin Leigh Desrochers | Nurse Practitioner | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Gregory J Fortin | Vascular Surgery | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Alison M Sesock | Nurse Practitioner | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Nitin G Malhotra | Vascular Surgery | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Ranjith Dodla | Vascular Surgery | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Alison Jennifer Kinning | Vascular Surgery | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Wayne K Kinning | Vascular Surgery | Vascular Surgery Assoc PC | 5020 W Bristol Rd, Flint, MI 48507-2919 |
| Street Address |
5202 MILLER RD |
| City | FLINT |
| State | MI |
| Zip | 48507-1040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Culver | Interventional Pain Management | 5202 Miller Rd, Flint, MI 48507-1040 | |
| Gregory J Fortin | Vascular Surgery | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Alison M Sesock | Nurse Practitioner | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Ashley R Hartsoe | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Jessica J Ferris | Certified Registered Nurse Anesthetist (crna) | Superior Anesthetists Associates Inc | 5202 Miller Rd, Flint, MI 48507-1040 |
| Jill M Donais | Certified Registered Nurse Anesthetist (crna) | Superior Anesthetists Associates Inc | 5202 Miller Rd, Flint, MI 48507-1040 |
| Ashley Bruckner | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Michigan PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Carlo A Dall Olmo | Vascular Surgery | Vascular Surgery Assoc PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| John C Kohn | Pain Management | James C Culver Md PC | 5202 Miller Rd, Flint, MI 48507-1040 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Balvant K Ganatra | Gastroenterology | Balvant K Ganatra Md PC | G5154 Miller Rd A B, Flint, MI 48507 |
| Robert J Zendler Ii | Ophthalmology | 4281 W Lennon Rd, Flint, MI 48507-1024 | |
| Caroline Dennis Mathew | Internal Medicine | 4212 Lennon Rd, Flint, MI 48507-1025 | |
| Aaron K Blossom | Chiropractic | 5065 Miller Rd G, Flint, MI 48507-1037 | |
| Jane A Johnson | Internal Medicine | Dr Michael T Owczarzak PC | 5142 Miller Rd, Flint, MI 48507-1042 |
| Michael T Owczarzak | Family Medicine | Dr Michael T Owczarzak PC | 5142 Miller Rd, Flint, MI 48507-1042 |
| John V Webb | Clinical Social Worker | John V Webb Msw Inc | 4481 Lennon Rd, Flint, MI 48507-1064 |
| Ramesh Lakhamshi Chheda | Neurology | 5154 Miller Rd, Suite 1, Flint, MI 48507-1065 | |
| Adam J Macdonald | Chiropractic | 5154 Miller Rd, Suite J, Flint, MI 48507-1069 | |
| William D Ryckman | Chiropractic | Ryckman Chiropractic PC | 5154 Miller Rd, J, Flint, MI 48507-1069 |
| Find all physicians in zip 48507 | |||
| City | FLINT |
| Zip Code | 48507 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | FLINT + VASCULAR SURGERY |
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| 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.