Active NPI
Robert Joseph Matson, PA-C , MPAS
- Physician Assistant
- Osawatomie, KS
National Provider Identifier
1164601126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-01972
- Practice address
- 100 E Main St
Osawatomie, KS 66064-1126 - Phone
- (913) 755-3044
- Fax
- (913) 755-2184
- NPI assigned
- Oct 26, 2007
- Last updated
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01972 | KS | Primary |
| Medical Physician Assistant | 363AM0700X | PA03358 | TX |
Addresses
Primary practice location
100 E Main St
Osawatomie, KS 66064-1126
Mailing address
100 E Main St
Osawatomie, KS 66064-1126
Phone (913) 755-3044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01972 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey D Rettig DO PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rettig Family Health Care
- Family Medicine Physician
- Groesbeck, TX
- NPI 1063680619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1164601126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660641126",
"telephone_number": "913-755-3044",
"fax_number": "913-755-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "OSAWATOMIE",
"state": "KS",
"postal_code": "660641126",
"telephone_number": "913-755-3044",
"fax_number": "913-755-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PA-C , MPAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-01972",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osawatomie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.