Healthcare Provider Details

I. General information

NPI: 1679797278
Provider Name (Legal Business Name): MATTHEW T. RANSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4824 E BASELINE RD STE 140
MESA AZ
85206-4680
US

IV. Provider business mailing address

4824 E BASELINE RD STE 140
MESA AZ
85206-4680
US

V. Phone/Fax

Practice location:
  • Phone: 480-626-2552
  • Fax:
Mailing address:
  • Phone: 480-724-7091
  • Fax: 480-854-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number46448
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number46448
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: