Kelly Matlock, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

N2643 Issued in TX

Practice address

1301 Montgomery Rd
Graham, TX 76450-4240

Phone

(254) 624-7486

NPI assigned

Sep 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Texas a & M University System, HSC, College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palo Pinto County Hospital DistrictGroup PAC ID 5890602759, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • Anesthesiology Physician
  • Mineral Wells, TX
  • NPI 1841258076
  Medicare reassignment Care Compare group NPD
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital Pulmonology

  • Cardiovascular Disease Physician
  • Mineral Wells, TX
  • NPI 1366400582
  NPD
• Palo Pinto County Hospital District

  dba Palo Pinto Mobile Clinic

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1376278366
  NPD
• Palo Pinto County Hospital District

  dba Community Care Center

  • Family Medicine Physician
  • Mineral Wells, TX
  • NPI 1922056993
  NPD
• Palo Pinto County Hospital District

  dba Mineral Wells Family Health

  • Rural Health Clinic/Center
  • Mineral Wells, TX
  • NPI 1184609265
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602
  Care Compare affiliation

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1548418387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MONTGOMERY RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504240",
            "telephone_number": "254-624-7486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MONTGOMERY RD",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504240",
            "telephone_number": "254-624-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lumin Urgent Care, PLLC
• Lisa Joy Lunsford, PNP
• Lindsey Rene Maly, FNP-C
• William P Martin, MD
• Jared Hayden Mataska, M.D.
• Teresa McGuinness, FNP-C
• Med Care Medical of N. TX, Inc.
• Medicine Chest Pharmacy LLC
• Brandi Goble Menard, LPC
• Michael Castillo MD PA

• Anesthesiology Physician in Graham, TX
• Providers in Graham, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.

Verify at the official NPI Registry.