Active NPI
Mark J. Mattern, M.D.
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1952339152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24656
- Practice address
- 415 N Val Vista Dr Ste 101
Mesa, AZ 85213-7059 - Phone
- (480) 654-5661
- NPI assigned
- Jun 28, 2006
- Last updated
- Jan 4, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24656 | AZ | Primary |
Addresses
Primary practice location
415 N Val Vista Dr Ste 101
Mesa, AZ 85213-7059
Mailing address
2665 N Travis
Mesa, AZ 85207-2568
Phone (480) 354-6126
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Ridge Urgent Care LLC | Past | Accepting new patients | |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients | |
| Casa Grande Urgent Care LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Sun City Urgent Care LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Dana Landing Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients | |
| Thomas Road Urgent Care LLC | Past | Accepting new patients | |
| Apache Junction Urgent Care LLC | Past | Accepting new patients | |
| Southwest Phoenix Urgent Care LLC | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients |
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NextCare
- Urgent Care Clinic/Center
- Apache Junction, AZ
- NPI 1053375659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1952339152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2665 N TRAVIS",
"city": "MESA",
"state": "AZ",
"postal_code": "852072568",
"telephone_number": "480-354-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N VAL VISTA DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852137059",
"telephone_number": "480-654-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTERN",
"first_name": "MARK",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "24656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.