Active NPI
Laure G Demattia, DO
- Obesity Medicine (Family Medicine) Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- 5912
- Practice address
- 2821 36TH Ave NW Ste 200
Norman, OK 73072-2477 - Phone
- (405) 515-2049
- Fax
- (405) 307-5630
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45995 | WI | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 53690 | MN | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 5912 | OK | Primary |
Addresses
Primary practice location
2821 36TH Ave NW Ste 200
Norman, OK 73072-2477
Mailing address
PO Box 1330
Norman, OK 73070-1330
Phone (405) 735-2049
Other practice location 1
3433 NW 56th St
Suite 970
Oklahoma City, OK 73112-4455
Phone (405) 951-2131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006906261I | Other | HUMANA | |
| 43508500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 S Ann Arbor
Oklahoma City Indian Clinic
Oklahoma City, OK 73128-1112
Phone (405) 948-4900
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53690 | MN | MD | Obesity Medicine (Family Medicine) Physician |
| 5912 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Albert M D P C | Current | Accepting new patients | |
| Norman Regional Providers Specialty Care | Current | Accepting new patients | |
| Virtual Medical Partners of California, P.C. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Family Medicine | Past | Accepting new patients |
| Central Oklahoma American Indian Health Council, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
2821 36th Ave NW
Ste 200
Norman, OK 73072
Phone (405) 515-2049
500 E Robinson St
Ste 2300
Norman, OK 73071
Phone (405) 329-4102
3400 W Tecumseh Rd
Ste 300
Norman, OK 73072
Phone (405) 307-5700
Interoperability endpoints
- laure.demattia.1@25828.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
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TX
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- Internal Medicine Physician
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OK
-
- Family Medicine Physician
- Norman, OK
- NPI 1548398274
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1235181579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701330",
"telephone_number": "405-735-2049",
"fax_number": "405-307-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 36TH AVE NW STE 200",
"city": "NORMAN",
"state": "OK",
"postal_code": "730722477",
"telephone_number": "405-515-2049",
"fax_number": "405-307-5630"
}
],
"practiceLocations": [
{
"address_1": "3433 NW 56th St",
"address_2": "Suite 970",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731124455",
"country_code": "US",
"telephone_number": "405-951-2131",
"fax_number": "405-951-2135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMATTIA",
"first_name": "LAURE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "45995",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "MN",
"license": "53690",
"primary": false
},
{
"code": "207QB0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Obesity Medicine",
"state": "OK",
"license": "5912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "006906261I",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43508500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.