COLLEEN A. MATTIMORE M.D. – NPI #1053382549
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

COLLEEN MATTIMORE is a physician located in BUFFALO, NY. NPPES has assigned the NPI number 1053382549 to COLLEEN MATTIMORE on January 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Feb 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLLEEN MATTIMORE below.

NPI Profile for
COLLEEN A. MATTIMORE

NPI Number
1053382549
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
COLLEEN A. MATTIMORE
Credentials
M.D.
Primary location
2924 MAIN ST
BUFFALO, NY 14214-1720
Phone: (716) 837-0995 Fax: (716) 837-1203
Mailing address
8205 MAIN ST STE 10
WILLIAMSVILLE, NY 14221-6054
Phone: (716) 539-0789 Fax: (716) 250-9090
Sole Proprietor
No
Updated
Certification Date
Feb 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COLLEEN MATTIMORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELDNY000523597001
otherINDEPENDENT HEALTHNY1207139
otherUNIVERA HEALTHCARENY00010113101
medicaidNY01559897
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NY 194429

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.