Ronald Lee Matheson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26559 Issued in OK

Practice address

710 So 13TH
Blackwell, OK 74631

Phone

(580) 363-9421

Fax

(580) 363-2339

NPI assigned

Nov 21, 2006

Last updated

Jan 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesiologists of Bartlesville

  • Pain Medicine (Anesthesiology) Physician
  • Bartlesville, OK
  • NPI 1407870066
  NPD (past)
• Integris Blackwell Regional Hospital

  dba Anesthesia Services of Blackwell

  • Certified Registered Nurse Anesthetist
  • Blackwell, OK
  • NPI 1316175755

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1184799629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 AMES AVENUE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74604",
            "telephone_number": "580-765-8319",
            "fax_number": "580-765-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SO 13TH",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "74631",
            "telephone_number": "580-363-9421",
            "fax_number": "580-363-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0029132",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "26559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justun Kukuk, PHARMD
• Robert London, DDS
• Travis Harold Luke, DDS
• Haylee Magin
• India Martin, DDS
• Tracy Rene McAreavey, RPT
• McGuire Cares Medical, Co.
• Sarah Elizabeth McGuire, APRN
• Aaron Martin Neale, D.D.S.
• Noda PLLC

• Certified Registered Nurse Anesthetist in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.