Provider Demographics
NPI:1437124005
Name:MATTHEWS, JANET C (DO)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:C
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:C
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 WOODWARD BLVD
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1134
Mailing Address - Country:US
Mailing Address - Phone:918-605-3758
Mailing Address - Fax:918-592-6410
Practice Address - Street 1:111 WOODWARD BLVD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1134
Practice Address - Country:US
Practice Address - Phone:918-605-3758
Practice Address - Fax:918-592-6410
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3867207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200111270AMedicaid
OKB5634Medicare PIN