Active NPI
Matthew K Loeber, APRN-CNP
- Family Nurse Practitioner
- Edmond, OK
National Provider Identifier
1295135341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R98967
- Practice address
- 308 N W 153Rd Street
Edmond, OK 73013 - Phone
- (405) 888-9949
- Fax
- (405) 272-7455
- NPI assigned
- Aug 26, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R98967 | OK | Primary |
Addresses
Primary practice location
308 N W 153Rd Street
Edmond, OK 73013
Mailing address
308 N W 153Rd Street
Edmond, OK 73013
Phone (405) 888-9949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200557160A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimum Primary Care PLLC | Current | Accepting new patients | |
| Optimum Care Hospitalist Group PLLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Peter Lafon, DO, PLLC | Past | Accepting new patients |
Locations
1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611
105 S Bryant Ave
Ste 108
Edmond, OK 73034
Phone (405) 359-9669
1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1306396577
-
- Internal Medicine Physician
- Edmond, OK
- NPI 1760030399
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Surgery Physician
- Cushing, OK
- NPI 1144456179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1295135341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N W 153RD STREET",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-888-9949",
"fax_number": "405-272-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N W 153RD STREET",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-888-9949",
"fax_number": "405-272-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEBER",
"first_name": "MATTHEW",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-26",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R98967",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200557160A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.