Active NPI
Rodger C. Mattson, D.O., P.C.
- Family Medicine Physician
- Chelsea, OK
National Provider Identifier
1124178637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4042
- Legal business name
- RODGER C. MATTSON, D.O., P.C.
- Practice address
- 403 Redbud LN
Chelsea, OK 74016-1453 - Phone
- (918) 789-3146
- Fax
- (918) 789-5650
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodger Curtis Mattson, D.O.
- Title
- President
- Phone
- (918) 789-3146
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4042 | OK | Primary |
Addresses
Primary practice location
403 Redbud LN
Chelsea, OK 74016-1453
Mailing address
403 Redbud LN
Chelsea, OK 74016-1453
Phone (918) 789-3146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000014530C | Medicaid | OK |
Other names 1
- Chelsea Family Medical Clinid
National Provider Directory
National Provider DirectoryLocations
403 Redbud Ln
Chelsea, OK 74016
Phone (918) 789-3146
12814 E 101st Pl N
#102
Owasso, OK 74055
Phone (918) 609-5212
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Blacksburg, VA
- NPI 1215999776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1124178637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 REDBUD LN",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740161453",
"telephone_number": "918-789-3146",
"fax_number": "918-789-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 REDBUD LN",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740161453",
"telephone_number": "918-789-3146",
"fax_number": "918-789-5650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RODGER C. MATTSON, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "MATTSON",
"authorized_official_first_name": "RODGER",
"authorized_official_middle_name": "CURTIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-789-3146",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "4042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2000014530C",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chelsea Family Medical Clinid",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chelsea, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.