Kingfisher Clinic PLLC
Organization Active NPI Family Medicine Physician · Kingfisher, OK
NPI 1851780183 · NPPES record last updated May 5, 2021
Key facts
- NPI
- 1851780183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- KINGFISHER CLINIC PLLC
- Practice address
- 1100 Hospital Cir
Kingfisher, OK 73750-5001 - Phone
- (281) 407-3018
- NPI assigned
- Jan 9, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Robin L Matson, M.D.
- Title
- Owner/Operator
- Phone
- (281) 407-3018
Practitioners 4
-
Lisa Scheyer Matson, M.D.
-
Robin L Matson, MD
-
Stephen Arthurs, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1097419 | Kingfisher Clinic PLLC | Accreditation | Sep 11, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150406001512 | OK | Part B Supplier - Clinic/Group Practice | 9537487483 |
Receives reassigned benefits from 4 practitioners Practice locations: Kingfisher, OK |
National Provider Directory
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e0aed929-e53b-4d96-a40c-36cb9539f12f/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1100 Hospital Cir
Kingfisher, OK 73750-5001
Mailing address
1100 Hospital Cir
Kingfisher, OK 73750-5001
Phone (281) 407-3018
Other names
- Kingfisher Family Clinic
Other providers in Kingfisher, OK
- Jeffrey C. Danner, DDS, PLLC
- Jamie Jones-Scammahorn
- Melissa C Jones
- Bridget A. Keast
- Rise Lynne Kester
- Kingfisher Dental PLLC
- Kingfisher Dental PLLC
- Kingfisher Eye Clinic Inc
- Kingfisher Family Eyecare
- Kingfisher Pharmacy Management PLLC
All providers in Kingfisher, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.