Active NPI
Scott Matson, MD
- Urology Physician
- South Windsor, CT
National Provider Identifier
1275502916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 040285
- Practice address
- 2800 Tamarack Rd
Siute 108
South Windsor, CT 06074-5539 - Phone
- (800) 588-9240
- Fax
- (888) 285-0925
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 040285 | CT | Primary |
Addresses
Primary practice location
2800 Tamarack Rd
Siute 108
South Windsor, CT 06074-5539
Mailing address
PO Box 10
East Glastonbury, CT 06025-0010
Phone (860) 430-5773
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3906119 | Other | CT | OXFORD |
| 7190376 | Other | CT | AETNA |
| 3V1999 | Other | CT | HEALTHNET |
| 8711289 | Other | CT | CIGNA |
| 010040285CT06 | Other | CT | ANTHEM |
| 040285 | Other | CT | CONNECTICARE |
| 001402859 | Medicaid | CT | |
| 2253948 | Other | CT | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040285 | CT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vasectomy Center of Connecticut, LLC | Urology | Past | Accepting new patients |
Interoperability endpoints
- scott.matson.1@30260.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Urology Physician
- South Windsor, CT
- NPI 1043477045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1275502916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "EAST GLASTONBURY",
"state": "CT",
"postal_code": "060250010",
"telephone_number": "860-430-5773",
"fax_number": "888-285-0925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 TAMARACK RD",
"address_2": "SIUTE 108",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060745539",
"telephone_number": "800-588-9240",
"fax_number": "888-285-0925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "040285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3906119",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7190376",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3V1999",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8711289",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010040285CT06",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "040285",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001402859",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2253948",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.