Blair Scott Mattern, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

23002473A Issued in IN

Practice address

Ball State University
Arts and Communication BLDG RM 104
Muncie, IN 47306-0001

Phone

(765) 285-5354

Fax

(765) 285-5623

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Ball State UniversityGroup PAC ID 9830577220, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ball State University

  • Audiologist
  • Muncie, IN
  • NPI 1093937476
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329696000000",
    "number": "1205156155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BALL STATE UNIVERSITY",
            "address_2": "ARTS AND COMMUNICATION BLDG RM 104",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060001",
            "telephone_number": "765-285-5354",
            "fax_number": "765-285-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BALL STATE UNIVERSITY",
            "address_2": "ARTS AND COMMUNICATION BLDG RM 104",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473060001",
            "telephone_number": "765-285-5354",
            "fax_number": "765-285-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "BLAIR",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2012-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A. 01732",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002473A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Masters, A-GNP-C
• L. Jay Matchett, MD
• Joel Mathew
• Roshan Mathew
• Shari Mathews, LMHCA
• Cory N Matters, LCSW
• Stephen Matteson, PHD
• Matthew L. Harkin
• Joshua David Matthews, MD
• Katrina Matthews

• Audiologist in Muncie, IN
• Providers in Muncie, IN by specialty
• Audiologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.