| NPI | 1245262419 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-07 |
| Last Updated | 2016-08-19 |
| Mailing Address | 9245 S Mingo Rd Tulsa, OK 74133-5793 United States Phone: (918) 492-8980 | Fax: (918) 495-0607 📍 View Map |
| Primary Practice Address | 9245 S Mingo Rd Tulsa, OK 74133-5793 United States Phone: (918) 492-8980 | Fax: (918) 495-0607 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 200161290A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207N00000X – Dermatology | OK | APA1311 |
| Yes | 363AM0700X – Physician Assistant, Medical | OK | 1311 |
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About NPI 1245262419
Matthew Brett Dohlman P.A. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1245262419. The primary specialty listed is Physician Assistant, Medical. The provider is located in Tulsa, OK. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1245262419?
NPI 1245262419 belongs to Matthew Brett Dohlman P.A., a Physician Assistant, Medical in Tulsa, OK. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1245262419 active?
The current status of NPI 1245262419 in the NPPES registry is Active. The record was last updated on 2016-08-19.
What specialty is NPI 1245262419?
NPI 1245262419 is classified under the taxonomy Physician Assistant, Medical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1245262419?
You can verify NPI 1245262419 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1245262419?
The primary practice address on file for NPI 1245262419 is 9245 S Mingo Rd, Tulsa, OK 74133-5793. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1245262419 issued?
NPI 1245262419 was first issued (enumerated) on 2006-07-07. The NPPES record was last updated on 2016-08-19.
Practice Location Map
Matthew Brett Dohlman is located at 9245 S Mingo Rd, Tulsa, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Matthew Brett Dohlman. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1245262419. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | APA1311 | OK |
| Physician Assistant, Medical | 1311 | OK |