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Lisa A Mattingly (MD)

Lisa A Mattingly (MD) is a health care provider specializes in Family Medicine. She is associated with medical group practice FAIRFAX MEDICAL FACILITIES INC and is affiliated with 3 hospitals as shown below.

profile-icon Basic Information

Practice Location 716 S Highway 77, Newkirk, OK 74647-7009, US
Practice Location Phone580-362-2555
Practice Location Fax580-362-2948
GenderFemale
Specialty InFamily Medicine
Medical SchoolOther
Graduation Year2012
NPI ?1104186907
PECOS ID5799091542
Enrollment IDI20150825004167
Entity TypeIndividual
Enumeration Date ? May 25, 2012
Last Update Date ? Mar 8, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Lisa A Mattingly

SpecialtySpecializationLicenseLicense State
Family Medicine 29227Oklahoma

Medicare-icon Medicare Participation of Lisa A Mattingly

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Lisa A Mattingly

Medical Group PracticeFairfax Medical Facilities Inc
Affiliation 1 Alliancehealth Ponca City
Affiliation 2 Alliancehealth Blackwell
Affiliation 3 Stillwater Medical Center

legacy-id-icon Legacy Provider IDs of Lisa A Mattingly

Provider IdIssuer StateIssuer TypeIssuer
200444630AOklahomaMedicaid
430265YRHZOklahomaOtherMEDICARE GROUP PTAN