Organization Active NPI

Rodger C. Mattson, D.O., P.C.

  • Family Medicine Physician
  • Chelsea, OK
National Provider Identifier
1124178637
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4042 Issued in OK
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

Updated by the provider on May 22, 2008

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.NPI 1215999776
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2000014530CMedicaidOK

Other names 1

  • Chelsea Family Medical Clinid Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.