Doctor profile · Federal record
Dr. McKenzie Matlock, PA
Physician Assistant · Springfield, MO
- NPI 1912407032
- 8 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
440 E Tampa St
Springfield, MO 65806
(417) 831-0150 - Additional location
-
3801 S National Ave
Springfield, MO 658075210
(417) 269-6000
Credentials & registration
- NPI registered
- February 2018 — 8 yrs on file
- Profile last updated
- November 25, 2024
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Missouri #2018003866
- Medicaid
- MO #220051879
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1912407032. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, INC. | 1 | $26.25 |
By nature of payment
Frequently asked questions
What is Dr. McKenzie Matlock's medical specialty?
Dr. McKenzie Matlock practices Physician Assistant in Springfield, MO.
Where does Dr. McKenzie Matlock practice?
Dr. McKenzie Matlock practices at 440 E Tampa St, Springfield, MO 65806. Office phone: 4178310150.
What is Dr. McKenzie Matlock's NPI?
Dr. McKenzie Matlock's National Provider Identifier (NPI) is 1912407032, issued by NPPES.