Active NPI
George M Matook, M. D.
- Orthopaedic Surgery Physician
- Midwest City, OK
National Provider Identifier
1326083064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 18887
- Practice address
- 215 N Midwest Blvd
Midwest City, OK 73110-4320 - Phone
- (405) 737-3491
- Fax
- (405) 737-5956
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 18887 | OK | Primary |
Addresses
Primary practice location
215 N Midwest Blvd
Midwest City, OK 73110-4320
Mailing address
215 N Midwest Blvd
Midwest City, OK 73110-4320
Phone (405) 737-3491
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100707240A | Medicaid | OK | |
| 101565200 | Other | OK | DEPT OF LABOR |
| 200024773 | Other | OK | RAILROAD MEDICARE |
| 5007198 | Other | OK | AETNA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | george.matook.1@4696.direct.athenahealth.com | Direct | |
| Direct Messaging Address | george.matook.1@4696.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041118000579 | OK | Practitioner - Orthopedic Surgery | 0547224586 | Practice locations: Midwest City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18887 | OK | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- george.matook.1@4696.direct.athenahealth.com
- gmatook@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1326083064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N MIDWEST BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104320",
"telephone_number": "405-737-3491",
"fax_number": "405-737-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N MIDWEST BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104320",
"telephone_number": "405-737-3491",
"fax_number": "405-737-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOOK",
"first_name": "GEORGE",
"middle_name": "M",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "18887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100707240A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "101565200",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200024773",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5007198",
"state": "OK"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "george.matook.1@4696.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "215 N Midwest Blvd",
"city": "Midwest City",
"state": "OK",
"country_code": "US",
"postal_code": "731104320",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "george.matook.1@4696.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "215 N Midwest Blvd",
"city": "Midwest City",
"state": "OK",
"country_code": "US",
"postal_code": "731104320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.