MATLOCK JEFFRIES (NPI# 1033439146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033439146 |
| Entity Type | Individual |
| Full Name | MATLOCK JEFFRIES |
| Credential | MD |
| Practice Address |
920 Sl Young Blvd Oklahoma City OK 73104 |
| Mailing Address |
920 Sl Young Blvd Oklahoma City OK 73104-5033 |
| Practice Telephone | 4052715963 |
| Mailing Telephone | 4052715963 |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 27883 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
27883 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
920 SL YOUNG BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047683 | Linda J Salinas | Internal Medicine | 920 Sl Young Blvd, Wp1160, Oklahoma City, OK 73104-5033 | 2006-03-14 |
| 1871944074 | Roohi Katyal | Psychiatry & Neurology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2016-06-29 |
| 1790163467 | Jared Preston Higley | Urology | 920 Sl Young Blvd, Wp 3150, Oklahoma City, OK 73104-5036 | 2015-05-13 |
| 1083038418 | Katharine Pentecost | Physician Assistant | 920 Sl Young Blvd, Wp1310, Oklahoma City, OK 73104-5036 | 2014-02-05 |
| 1790125995 | Lisa Beckner | Pediatrics | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-07-02 |
| 1053751263 | Tarandeep Grewal | Psychiatry & Neurology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-07-02 |
| 1659711356 | George Salem | Internal Medicine | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-06-27 |
| 1104262112 | Cullen Mccarthy | Surgery | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-05-16 |
| 1841635307 | Brian Lich | Internal Medicine | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-05-09 |
| 1366887820 | Natalie Kurkjian | Psychiatry & Neurology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720480387 | Phillip J Wright | Internal Medicine | 1409 Harden Ct, Oklahoma City, OK 73118-1055 | 2014-09-25 |
| 1649430810 | Latisha Dawn Heinlen | Internal Medicine | 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399 | 2008-06-11 |
| 1316064876 | Richard Jacob Hess | Internal Medicine | 3109 Lamp Post Ln, Oklahoma City, OK 73120-5618 | 2007-03-22 |
| 1699822379 | Mohammad Faisal Khan | Internal Medicine | 1015 N Shartel Ave, Oklahoma City, OK 73102 | 2007-01-04 |
| 1235237728 | Mary Beth Humphrey | Internal Medicine | 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 | 2006-09-20 |
| 1962471813 | Joan T Merrill | Internal Medicine | 825 Ne 13th St, Omrf E110, Oklahoma City, OK 73104-5005 | 2006-03-14 |
| 1811968399 | Christine Ellen Codding | Internal Medicine | 1211 North Shartel Avenue, Suite 700, Oklahoma City, OK 73103-2433 | 2006-01-31 |
| 1174979942 | John Goetzinger | Internal Medicine | 800 Stanton L Young Blvd # 6400, Oklahoma City, OK 73104-5018 | 2016-05-10 |
| 1407211048 | Saints Medical Group, LLC | Internal Medicine | 13401 N Western Ave, Suite 210, Oklahoma City, OK 73114-1408 | 2015-12-28 |
| 1588050652 | Nicholas Matthew Lytle | Internal Medicine | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2015-04-15 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.