Matthew David Wiefels, MD

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

45936 Issued in OK

Practice address

800 Stanton L Young Blvd # 1464
Oklahoma City, OK 73104-5018

Phone

(405) 271-5504

NPI assigned

Jun 3, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1063306371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 HERITAGE PARK DR APT 148",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207547",
            "telephone_number": "305-992-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STANTON L YOUNG BLVD # 1464",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045018",
            "telephone_number": "405-271-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEFELS",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OK",
            "license": "45936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth H. Widaski, RN
• Jimmy L Widdifield Jr., M.A., LPC
• Jeremy Eugene Widener, DO
• Frank J. Wiebelt, D.D.S.
• Jessica Tompkins Wieduwilt, CRNA
• Robert Jerome Wienecke, M.D.
• Mary T Wier, WOMENS HEALTHCARE NP
• Wiersig Chiropractic Clinic
• Angie Wiese, M.ED, RBT
• Wiggins Eyecare LLC

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.