NPI 1023062130

Gregg R Mattison, MD

Practitioner Diagnostic Radiology Physician Fort Wayne, IN

Practice location

Address: 3707 New Vision Drive, Fort Wayne, IN 46895-5602
Phone: (260) 471-9466
Fax: (260) 484-5919
Mailing address: 2200 Randallia Dr, Fort Wayne, IN 46805-4638

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 35188 (IN)

Other Radiology providers in Indiana →

Registry record

NPI: 1023062130
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.