| Dr Gregg R Mattison, MD | |
| 3707 New Vision Drive, Fort Wayne, IN 46895-5602 | |
| (260) 471-9466 | |
| (260) 484-5919 | 
| Full Name | Dr Gregg R Mattison | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 3707 New Vision Drive, Fort Wayne, Indiana | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023062130 | NPI | - | NPPES | 
| 000000092615 | Other | IN | ANTHEM | 
| 2100630 | Medicaid | OH | |
| 4074924100 | Medicaid | MI | |
| 1554 | Other | IN | PHP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35188 (Indiana) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Gregg R Mattison, MD 2200 Randallia Dr, Fort Wayne, IN 46805-4638 Ph: (260) 373-4731 | Dr Gregg R Mattison, MD 3707 New Vision Drive, Fort Wayne, IN 46895-5602 Ph: (260) 471-9466 | 
| Dr. Benjamin Jon Moreno, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845 Phone: 260-469-6602 Fax: 260-484-5919 | |
| Dr. Andre Byard Stovall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 | |
| Dr. Christopher Edson Carrel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 604-696-6022 Fax: 616-363-7290 | |
| Christopher M Wing, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-471-9466 Fax: 260-484-5919 | |
| Dr. Ahdy Messiha, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-432-1568 Fax: 260-432-4969 | |
| Vivek K. Sharma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818 Phone: 260-432-1568 Fax: 260-432-4969 |