Jared Mataska MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JARED MATASKA MD PA

Practice address

1339 East St
Graham, TX 76450-4228

Phone

(940) 521-5500

NPI assigned

Jan 25, 2019

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jared Mataska, MDNPI 1780033753

Title

Managing Owner

Phone

(940) 521-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Hayden Mataska, M.D.

  • Family Medicine Physician
  • Graham, TX
  • NPI 1780033753
  Medicare reassignment Authorized official
• Christopher Ryan Easterling, MD

  • Family Medicine Physician
  • Graham, TX
  • NPI 1538554134
  NPD
• Mary L Hiatt, APRN-CNP

  • Family Nurse Practitioner
  • Weatherford, TX
  • NPI 1326098625
  NPD
• Steven Kent Jones, MD

  • Family Medicine Physician
  • Graham, TX
  • NPI 1497722599
  NPD
• John F Lucas III, MD

  • Family Medicine Physician
  • Graham, TX
  • NPI 1205803301
  NPD
• William P Martin, MD

  • Family Medicine Physician
  • Graham, TX
  • NPI 1609844356
  NPD
• Julie Ann Sherbert, MPAS, PA-C

  • Physician Assistant
  • Dalhart, TX
  • NPI 1265841647
  NPD
• Leah B Smith, ACNP

  • Acute Care Nurse Practitioner
  • Graham, TX
  • NPI 1306173455
  NPD
• Kippi Denise Lattimore, FNP-C

  • Family Nurse Practitioner
  • Graham, TX
  • NPI 1710502620
  NPD (past)
• Teresa McGuinness, FNP-C

  • Family Nurse Practitioner
  • Graham, TX
  • NPI 1376913491
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1043774896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 EAST ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504228",
            "telephone_number": "940-521-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED MATASKA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MATASKA",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "940-521-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB LICENSE",
            "identifier": "R4429",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Wayne Howell, O.D.
• Hal D Huffman, MD
• Jeffrey Ross Hutson, CRNA
• Jack County Hospital District (FCH Rural Health Clinic Graham)
• Jamie B. Epperson, DDS, PA (Twelve Oaks Dental Clinic)
• Jeffrey K Gilbertson MD PA (Faith Family Practice/OB)
• Cristy Jean Jeffreys, RN, LP
• John F Lucas III MD PA
• Pamela Johnson
• Loneta Shawn Jones, LMT

• Family Medicine Physician in Graham, TX
• Providers in Graham, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.