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MATHEW S SISSON DO
NPI 1619331964
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 12, 2016
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304(304) 388-5590(304) 388-8238 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017 (2 updates tracked since 2017).

About Mathew S Sisson Do NPPES

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

MATHEW S SISSON DO (NPI 1619331964) is an individual student in an organized health care education/training program in Charleston, West Virginia, licensed in West Virginia (ED0649A) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1619331964
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATHEW S SISSONCredential: DO
Location Address3200 MACCORKLE AVE SE FL 4Charleston, WV 25304-1227
Mailing Address3200 Macorkle Ave, 4th FloorCharleston, WV 25304 · (304) 388-5590 · Fax (304) 388-8238
Phone(304) 388-5590
Fax(304) 388-8238
Sole ProprietorNo
Enumeration DateApril 12, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619331964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WV · ED0649A
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3200 MACCORKLE AVE SE FL 4, Charleston, WV 25304
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Other Providers at the Same Location NPPES 10

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

MEGAN JENETTE GOINS APRN, FNP-C
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-8200
DR. BRANDON KEITH ROSE D.O.
Internal Medicine
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-5590
DR. ATUL SINGH D.O.
Internal Medicine
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-5590
MRS. FAITH ANNETTE GRIFFITH FNP-BC
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-8199
RAVI GURUJAL MD
Internal Medicine (Interventional Cardiology)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-8200
EDWARD CHARLES TOBIN MD
Student in an Organized Health Care Education/Training Program
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-6355
MRS. KELLIE MURAD TEEL APRN, FNP-BC
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-5058
DR. ALI F ABURAHMA M.D.
Surgery (Vascular Surgery)
3200 MACCORKLE AVE SE FL 4
CHARLESTON, WV 25304
Kanawha County (304) 388-5590

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 Mathew Sisson's NPI number?

The NPI number for Mathew Sisson is 1619331964. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Mathew Sisson located?

Mathew Sisson practices at 3200 Maccorkle Ave SE Fl 4, Charleston, WV 25304. The listed phone number is (304) 388-5590.

What is Mathew Sisson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mathew Sisson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.