Joan C. Mattson, M.D.

Primary specialty

Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X

License

4301029816 Issued in MI

Practice address

15344 Club Course Dr
Bath, MI 48808-8797

Phone

(517) 641-4264

Fax

(517) 641-4683

NPI assigned

Mar 27, 2006

Last updated

Jan 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1740240100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15344 CLUB COURSE DR",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488088797",
            "telephone_number": "517-641-4264",
            "fax_number": "517-641-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15344 CLUB COURSE DR",
            "city": "BATH",
            "state": "MI",
            "postal_code": "488088797",
            "telephone_number": "517-641-4264",
            "fax_number": "517-641-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "JOAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MI",
            "license": "4301029816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology (Pathology) Physician in Bath, MI
• Providers in Bath, MI by specialty
• Hematology (Pathology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.