Michael Allen Mattin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11967 Issued in NH

Practice address

5 Washington PL
Suite 1a
Bedford, NH 03110-6706

Phone

(603) 663-8060

Fax

(603) 663-8066

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Elliot Physicians Network

  • Family Medicine Physician
  • Manchester, NH
  • NPI 1831191659
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1801844428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "address_2": "SUITE 1A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106706",
            "telephone_number": "603-663-8060",
            "fax_number": "603-663-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON PL",
            "address_2": "SUITE 1A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106706",
            "telephone_number": "603-663-8060",
            "fax_number": "603-663-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIN",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30204461",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "01YP07467NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3952838",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "710701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEATHCARE",
            "identifier": "2155068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8366627010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Laine Mask, M.A.
• Bert William Mathieson, ND,RD,LD,CDE
• Kristi Michelle Mathieson, RD,LD
• Samantha Margaret Matthes
• Dalena CHI Matthews, NP
• Courtney Ann Matuozzi, OTR/L
• Maxi Drug North Inc (Rite Aid Pharmacy 10279)
• Maxim Healthcare Services, Inc.
• Elizabeth Pylant Bransford Maxwell, MD
• Eric May

• Family Medicine Physician in Bedford, NH
• Providers in Bedford, NH by specialty
• Family Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.