Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISAAC J MATTIS
ActiveISAAC J MATTIS is a Family Medicine healthcare provider located in STANBERRY, Missouri. NPI 1972235166 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · STANBERRY, MO
Registration Details
- NPI Number
- 1972235166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2022 (4.1158253512485 yrs)
- Last Updated
- Aug 14, 2025
- Licenses
-
2864 (NE)2025032839 (MO)
Practice Information
- Address
-
202 E MAIN STSTANBERRY, MO, 644891358Browse MO providers · Browse ZIP 64489
- Phone
- 6607832192
- Fax
- 6607832616
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in STANBERRY, MO
| Name | Credential | NPI |
|---|---|---|
| DR. KATIE ELLEN DIAS | D.O. | 1497998744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.