Matthew Brett Dohlman, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1311 Issued in OK

Practice address

9245 S Mingo Rd
Tulsa, OK 74133-5793

Phone

(918) 492-8980

Fax

(918) 495-0607

NPI assigned

Jul 7, 2006

Last updated

Aug 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
• Direct secure messaging: mdohlman106923@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahs Oklahoma Physician Group LLC

  dba Utica Park Clinic

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775
  Medicare reassignment Care Compare group NPD
• Carlos Gomez-Meade DO PC

  • MOHS-Micrographic Surgery Physician
  • Tulsa, OK
  • NPI 1245097948
  NPD (past)
• Steven a. Smith, M.D., Dermatology, P.C.

  dba Smith Dermatology Clinic

  • Dermatology Physician
  • Tulsa, OK
  • NPI 1710900097
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1245262419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-492-8980",
            "fax_number": "918-495-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-492-8980",
            "fax_number": "918-495-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHLMAN",
        "first_name": "MATTHEW",
        "middle_name": "BRETT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1311",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "APA1311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200161290A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Robert Doenges, ND (P)
• Danelle Doerr, PTA
• Sofia Dogar, MD
• Julien Doh
• Donald L Dohlman, PT
• Alexis Danielle Dohner, CPO
• C Terrence Dolan, M.D.
• Courtney Ann Dolan, LPC-C
• Rachel Rhodes Dolan, P.A.-C
• Elisha Rannell Dolbow, C.F.A.

• Medical Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.