DR. ALLAN LEE MATTERN M.D. NPI 1023175635

NPI Information

  • NPI: 1023175635
  • Provider Name: DR. ALLAN LEE MATTERN, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 S 5TH ST
    DOUGLAS, WY
    ZIP 82633
  • Phone: (307) 358-7300

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NPI Details

DR. Allan Lee Mattern, M.D. is a cardiovascular disease internal medicine in Douglas, WY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Allan Lee Mattern, M.D. NPI is 1023175635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 S 5TH ST
DOUGLAS, WY
ZIP 82633-434
Phone: (307) 358-7300

The NPI 1023175635 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 12/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist3059AWYOMINGNo
2207RC0000XInternal MedicineCardiovascular Disease3059AWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W304480MEDICARE PINWYOMING
2304480OTHERWYOMINGBLUE SHIELD
3060040677OTHERWYOMINGRAILROAD MEDICARE
4060025397OTHERWYOMINGRR MCARE - WCPS
5102651800MEDICAIDWYOMING
6305074MEDICARE PINWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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