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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH MATTSON CCP
NPI 1568878148
Perfusionist in Plymouth, MI

Active since July 03, 2014
45211 HELM ST, PLYMOUTH, MI 48170(480) 777-0900(480) 777-1345 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Mattson Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MATTSON CCP (NPI 1568878148) is an individual perfusionist provider in Plymouth, Michigan and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1568878148
Entity TypeIndividualMale
Primary Taxonomy242T00000X
Provider Legal NameKENNETH MATTSONCredential: CCP
Location Address45211 HELM STPlymouth, MI 48170
Mailing Address45211 Helm StPlymouth, MI 48170 · (480) 777-0900 · Fax (480) 777-1345
Phone(480) 777-0900
Fax(480) 777-1345
Sole ProprietorNo
Enumeration DateJuly 3, 2014
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1568878148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
45211 HELM ST, Plymouth, MI 48170
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELVIA DUENAS
Technician/Technologist
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
HEVER NAVARRO QUERA
Specialist/Technologist, Other
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
BRACE R BREINICH
Technician, Health Information
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
FARHAAN CHAUGLE
Perfusionist
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
KIMBERLY GODDARD
Perfusionist
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
ERIN DOHERTY
Perfusionist
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
BENJAMIN GOFF
Specialist/Technologist, Other (Electroneurodiagnostic)
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712
ARIF ALI CCP
Perfusionist
45211 HELM ST
PLYMOUTH, MI 48170
Wayne County (734) 525-9712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mattson's NPI number?

The NPI number for Kenneth Mattson is 1568878148. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Kenneth Mattson located?

Kenneth Mattson practices at 45211 Helm St, Plymouth, MI 48170. The listed phone number is (480) 777-0900.

What is Kenneth Mattson's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Mattson was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.