Individual provider Active NPI

Curtis L. Matzkvech, PA-C

  • Physician Assistant
  • Atoka, OK
National Provider Identifier
1912075474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
783 Issued in OK
Practice address
1501 S Virginia Ave
Atoka, OK 74525-3245
Phone
(580) 889-3333
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 783 OK Primary

Addresses

Primary practice location

1501 S Virginia Ave
Atoka, OK 74525-3245

Mailing address

731 Arlington St
Ada, OK 74820-3853
Phone (580) 889-3333

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001523 OK Practitioner - Physician Assistant 0042202285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
783OKMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holdenville Hospital Authority CurrentSince Jul 1, 2014 Accepting new patients

Locations

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912075474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ARLINGTON ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203853",
            "telephone_number": "580-889-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S VIRGINIA AVE",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745253245",
            "telephone_number": "580-889-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKVECH",
        "first_name": "CURTIS",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.