National Provider Identifier
Colleen A Mattimore, M.D.
Colleen A Mattimore, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 837-0995.
Profile Overview
- NPI
- 1053382549
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- January 31, 2006
- Last Updated
- February 13, 2026
Practice Location
- 2924 Main St
- Buffalo, NY 14214-1720
Phone: (716) 837-0995
Mailing Address
- 8205 Main St Ste 10
- Williamsville, NY 14221-6054
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1053382549
- Entity Type
- Individual
- Last Name
- Mattimore
- First Name
- Colleen
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 8205 Main St Ste 10
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6054
- Mailing Country
- US
- Mailing Phone
- (716) 539-0789
- Mailing Fax
- (716) 250-9090
- Practice Street Address
- 2924 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1720
- Practice Country
- US
- Practice Phone
- (716) 837-0995
- Practice Fax
- (716) 837-1203
- Enumeration Date
- January 31, 2006
- Last Updated
- February 13, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 13, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 1207139 (NY, Independent Health), 00010113101 (NY, Univera Healthcare), 000523597001 (NY, Blue Cross Blue Shield), 01559897 (NY)