Individual provider Active NPI

Mark C Mattison, M.D.

  • Internal Medicine Physician
  • Danville, PA
National Provider Identifier
1730347444
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191488 Issued in PA
Practice address
100 N Academy Ave
MC 01-39
Danville, PA 17822-9800
Phone
(570) 271-6211
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 191488 PA Primary

Addresses

Primary practice location

100 N Academy Ave
MC 01-39
Danville, PA 17822-9800

Mailing address

100 N Academy Ave
MC 01-39
Danville, PA 17822-9800
Phone (570) 271-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015001731 PA Practitioner - Emergency Medicine 4385878990 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8595

765 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 781-3435

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191488PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Aug 1, 2013 Accepting new patients
Nason Physician Practices LLC CurrentSince Oct 7, 2020 Accepting new patients
Geisinger Clinic Current Accepting new patients
Nason Physician Practices LLC Internal Medicine CurrentSince Oct 7, 2020 Accepting new patients
Elk Regional Health Center CurrentSince Dec 1, 2017 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 1, 2017 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 1, 2017 Accepting new patients
Brookville Hospital Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Oct 7, 2020 Accepting new patients
Nason Physician Practices LLC Current Accepting new patients
Elk Regional Health Center CurrentSince Dec 1, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 7, 2020 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2017 Accepting new patients
Clearfield Hospital Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 N Academy Ave
#139
Danville, PA 17822

100 N Academy Ave
Danville, PA 17822

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1730347444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "MC 01-39",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "MC 01-39",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTISON",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "191488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

Verify at the official NPI Registry.