MATTHEW BRETT DOHLMAN (NPI# 1245262419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245262419 |
| Entity Type | Individual |
| Full Name | MATTHEW BRETT DOHLMAN |
| Credential | P.A. |
| Practice Address |
9245 S Mingo Rd Tulsa OK 74133-5793 |
| Practice Telephone | 9184928980 |
| Practice Fax Number | 9184950607 |
| Mailing Telephone | 9184928980 |
| Mailing Fax Number | 9184950607 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | APA1311 | OK | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1311 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200161290A | 05 |
| Street Address |
9245 S MINGO RD |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760712 | Bernard N Robinowitz | Dermatology | 9245 S Mingo Rd, Suite 335, Tulsa, OK 74133-5793 | 2005-06-15 |
| 1932682275 | Courtney Michelle Froehlich | Nurse Practitioner | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2018-09-12 |
| 1427536846 | Megan Blaire Kassem | Physician Assistant | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2018-07-30 |
| 1760845606 | Candice Elise Earp | Nurse Practitioner | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2016-03-29 |
| 1467836692 | Ahs Oklahoma Physician Group, LLC | Clinic/Center | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2015-07-17 |
| 1902293020 | Hannah Howard | Dermatology | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2015-04-16 |
| 1861816647 | Jennifer Diane Laeger | Physician Assistant | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2014-02-13 |
| 1790121499 | Lisa Mask Bull | Dermatology | 9245 S Mingo Rd, Tulsa, OK 74133 | 2013-05-21 |
| 1811216369 | Donna May Devore | Nurse Practitioner | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2010-05-24 |
| 1639229198 | Earl Michael Callery | Family Medicine | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1790155562 | Caldwell Medical Group of North Tulsa LLC | Physician Assistant | 8014 S 101st East Ave, Tulsa, OK 74133-4579 | 2015-10-05 |
| 1609298330 | Marci Love Deck | Physician Assistant | 2000 S Wheeling Ave Ste 1000, Tulsa, OK 74104-5648 | 2014-01-15 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1184959389 | Erin Nicole Jones | Physician Assistant | 11212 E 48th St., Oklahoma Oncology, Tulsa, OK 74146-5806 | 2009-10-06 |
| 1194901793 | Annamae Kay | Physician Assistant | 1919 South Wheeling Ave, Ste 304, Tulsa, OK 74104 | 2008-01-14 |
| 1265632129 | Oklahoma Occupational Health Center | Physician Assistant | 5640 S Memorial Dr, Tulsa, OK 74145-9001 | 2007-07-19 |
| 1962535831 | Njanja Margaret Ruenji | Physician Assistant | Morton Comprehensive Health Services, 1334 N. Lasing Ave, Tulsa, OK 74106-5907 | 2007-03-13 |
| 1740355460 | Jeri Clark Goen | Physician Assistant | 3807 S Peoria Ave, Suite G and H, Tulsa, OK 74105-3145 | 2006-11-21 |
| 1790879237 | Steven Paul Henry | Physician Assistant | 10506 South Memorial Drive, Tulsa, OK 74133 | 2006-10-02 |
| Find all providers in TULSA | ||||
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| 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.