MATTHEW M DIESSELHORST


Address: 10914 Hefner Pointe Dr Ste 200, Oklahoma City, OK 73120-5069
Phone: 4054633337

MATTHEW M DIESSELHORST (NPI# 1104022417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104022417
Entity Type Individual
Full Name MATTHEW M DIESSELHORST
Credential MD
Practice Address 10914 Hefner Pointe Dr Ste 200
Oklahoma City
OK 73120-5069
Practice Telephone 4054633337
Practice Fax Number 4054633338
Mailing Telephone 4054633337
Mailing Fax Number 4054633338
Enumeration Date 2007-06-23
Last Update Date 2020-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 25730 OK Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
25730 OK Allopathic & Osteopathic Physicians
N 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
25730 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK MEDICAL LICENSE 25730 01

Office Location

Street Address 10914 HEFNER POINTE DR STE 200
City OKLAHOMA CITY
State OK
Zip Code 73120-5069

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768971 Nuvail Medical Services Inc In Home Supportive Care 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 2019-12-26
1134781677 Peak Solutions, LLC Clinic/Center 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 2019-07-05
1992363881 Laura Lynn's Home Care, LLC Home Health 9801 N May Ave, Oklahoma City, OK 73120 2019-06-05
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier (Equipment, not the service) 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1023533262 Farris Ree Stroupe Audiologist 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 2017-08-09
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891323143 Austin James Cantrell Orthopaedic Surgery 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 2020-03-31
1346746690 Kacy Anne Richburg Orthopaedic Surgery 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 2018-04-04
1952764169 Doc LLC Orthopaedic Surgery 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 2016-04-04
1740531698 Oklahoma Sports and Orthopedics Institute Pllc Orthopaedic Surgery 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 2012-10-01
1558623934 Brian Alan Chenoweth Orthopaedic Surgery 825 Ne 10th St # 1c, Oklahoma City, OK 73104-5417 2012-06-12
1295000560 Keivan Abtahi Orthopaedic Surgery 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112 2012-03-19
1639455975 Ralph Edward Payne Jr. Orthopaedic Surgery 12604 Maple Ridge Rd., Oklahoma City, OK 73120 2011-11-01
1972807667 Ghazi M. Rayan, Md, Inc. Orthopaedic Surgery 3366 Nw Expressway Ste 700, Oklahoma City, OK 73112-4439 2011-01-10
1225292444 Ryan Lee Nelson Orthopaedic Surgery 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 2008-07-16
1205096369 Kevin T Grosshans Orthopaedic Surgery 920 Stanton L Young Blvd # 1380, Oklahoma City, OK 73104-5020 2008-06-12
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73120

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Dataset Information

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.

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