NPIMap

Organization Active NPI

Matthew H Roberts

  • Foot & Ankle Surgery Podiatrist
  • Miami, OK
National Provider Identifier
1124202197
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
223 Issued in OK
Legal business name
MATTHEW H ROBERTS
Practice address
310 2ND Ave SW
Ste 208
Miami, OK 74354-6702
Phone
(918) 540-7655
Fax
(918) 540-7668
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Matthew H Roberts, DPM
Title
Owner
Phone
(918) 540-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 223 OK Primary

Addresses

Primary practice location

310 2ND Ave SW
Ste 208
Miami, OK 74354-6702

Mailing address

PO Box 1323
Miami, OK 74355-1323
Phone (918) 540-7655

National Provider Directory

National Provider Directory

Locations

310 2nd Ave SW
Ste 208
Miami, OK 74354
Phone (918) 540-7655

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": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1124202197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743551323",
            "telephone_number": "918-540-7655",
            "fax_number": "918-540-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND AVE SW",
            "address_2": "STE 208",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546702",
            "telephone_number": "918-540-7655",
            "fax_number": "918-540-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW H ROBERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-540-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.