NPIMap

Organization Active NPI

Zena Area Community Clinic, PLLC, Marcia Matthews Sole Member

  • Medical Specialty Clinic/Center
  • Jay, OK
National Provider Identifier
1639689185
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
19451 Issued in OK
Legal business name
ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER
Doing business as
Zena Area Community Clinic
Practice address
37940 US Hwy 59 N
Jay, OK 74346-7434
Phone
(918) 964-6425
Fax
(918) 786-2402
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Dr. Marcia Kay Matthews, MDNPI 1427035419
Title
Sole Member of S Corporation in Ok
Phone
(918) 919-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 19451 OK Primary
Urgent Care Clinic/Center 261QU0200X 19451 OK

Addresses

Primary practice location

37940 US Hwy 59 N
Jay, OK 74346-7434

Mailing address

52390 E 333 Rd
Jay, OK 74346-5198
Phone (918) 919-2272

Other identifiers 1

IdentifierTypeStateIssuer
100124760A21MedicaidOK

Other names 1

  • Zena Area Community Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1639689185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52390 E 333 RD",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743465198",
            "telephone_number": "918-919-2272",
            "fax_number": "918-786-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37940 US HWY 59 N",
            "city": "JAY",
            "state": "OK",
            "postal_code": "743467434",
            "telephone_number": "918-964-6425",
            "fax_number": "918-786-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENA AREA COMMUNITY CLINIC, PLLC, MARCIA MATTHEWS SOLE MEMBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SOLE MEMBER OF S CORPORATION IN OK",
        "authorized_official_telephone_number": "918-919-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "19451",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OK",
            "license": "19451",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124760A21",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zena Area Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jay, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.