MEDICARE: MATTISON ANGOVE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	034422	NY

General Provider Information

NPI Number	:	1255210480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTISON ANGOVE PA-C

Provider Business Mailing Address
First Line	:	1465 FOOTE AVENUE EXT
Second Line	:
City	:	JAMESTOWN
State	:	NY
Zip	:	14701-9383
Country	:	US
Telephone Number	:	716-526-4041
Fax Number	:	716-526-4161

Provider Business Practice Location Address
First Line	:	1465 FOOTE AVENUE EXT
Second Line	:
City	:	JAMESTOWN
State	:	NY
Zip	:	14701-9383
Country	:	US
Telephone Number	:	716-526-4041
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2025
Last Update Date	:	03/13/2026

Similar Medicare Providers

1700062247 — JAMESTOWN PSYCHIATRIC PC
Practice Location Address:

1465 FOOTE AVENUE EXT
JAMESTOWN, NY
14701-9383

Practice Phone: 716-526-4041
Practice Fax: 716-526-4161

1295213684 — MISS ALLISON CLAIRE BLAKE PA-C
Practice Location Address:

1465 FOOTE AVENUE EXT
JAMESTOWN, NY
14701-9383

Practice Phone: 716-526-4041
Practice Fax:

1750967709 — CASSANDRA V BROWN NP
Practice Location Address:

1465 FOOTE AVENUE EXT
JAMESTOWN, NY
14701-9383

Practice Phone: 716-526-4041
Practice Fax:

1578275244 — MRS. MICHELLE A SWABIK LMFT
Practice Location Address:

1465 FOOTE AVENUE EXT
JAMESTOWN, NY
14701-9383

Practice Phone: 716-526-4041
Practice Fax:

1578401246 — MICHELLE CARLSON
Practice Location Address:

200 E 3RD ST STE 5
JAMESTOWN, NY
14701-5433

Practice Phone: 716-661-8330
Practice Fax:

1023966025 — AMANDA BROWN
Practice Location Address:

188 BARRETT AVE
JAMESTOWN, NY
14701-7854

Practice Phone: 716-499-5009
Practice Fax:

Directions to “ MATTISON ANGOVE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.