Organization Active NPI

Discover Well-Beings, PLLC

Doing business as Crossroads Wellness Center and Zena Area Community Clinic

  • Family Medicine Physician
  • Kansas, OK
National Provider Identifier
1801313564
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19451 Issued in OK
Legal business name
DISCOVER WELL-BEINGS, PLLC
Doing business as
Crossroads Wellness Center and Zena Area Community Clinic
Crossroads Wellness Clinic
Zena Area Community Clinic
Practice address
Crossroads Wellness Center
1107 E Carlton LN
Kansas, OK 74347
Phone
(918) 964-6425
Fax
(918) 289-2519
NPI assigned
Aug 24, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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
Physician Co-Owner
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19451 OK Primary

Addresses

Primary practice location

Crossroads Wellness Center
1107 E Carlton LN
Kansas, OK 74347

Mailing address

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

Other practice location 1

Zena Area Community Clilnic at New Hope Baptist Church
37940 US Hwy 59 N
Jay, OK 74346
Phone (918) 964-6425

Other names 3

  • Crossroads Wellness Center and Zena Area Community Clinic Doing business as
  • Crossroads Wellness Clinic Doing business as
  • Zena Area Community Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1107 Carlton Ln
Kansas, OK 74347
Phone (918) 964-6425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801313564",
    "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": "CROSSROADS WELLNESS CENTER",
            "address_2": "1107 E CARLTON LN",
            "city": "KANSAS",
            "state": "OK",
            "postal_code": "74347",
            "telephone_number": "918-964-6425",
            "fax_number": "918-289-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Zena Area Community Clilnic at New Hope Baptist Church",
            "address_2": "37940 US Hwy 59 N",
            "address_purpose": "LOCATION",
            "city": "Jay",
            "state": "OK",
            "postal_code": "74346",
            "country_code": "US",
            "telephone_number": "918-964-6425",
            "fax_number": "918-786-2402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISCOVER WELL-BEINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHYSICIAN CO-OWNER",
        "authorized_official_telephone_number": "918-919-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "19451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Wellness Center and Zena Area Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zena Area Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.