Active NPI
Michael Hines Tollett, D.O.
- Emergency Medicine Physician
- Walters, OK
National Provider Identifier
1356390397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2734
- Practice address
- 179133 N 2600 Rd
Walters, OK 73572-3817 - Phone
- (580) 695-4793
- Fax
- (580) 252-1253
- NPI assigned
- May 8, 2006
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2734 | OK | Primary |
Addresses
Primary practice location
179133 N 2600 Rd
Walters, OK 73572-3817
Mailing address
179133 N 2600 Rd
Walters, OK 73572-3817
Phone (580) 695-4793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28274 | CO | MD | Emergency Medicine Physician |
| 28274 | OK | MD | Emergency Medicine Physician |
| 2734 | OK | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians at Sierra Vista | Emergency Medicine | Past | Accepting new patients |
| Exigence, LLC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Seminole Health Center LLC | Past | Accepting new patients | |
| Little River Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Acs Primary Care Physicians of Arkansas PA | Emergency Medicine | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Alteon Health New Mexico LLC | Emergency Medicine | Past | Accepting new patients |
| Trinidad Area Health Association | Past | Accepting new patients |
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba Harmon Memorial Hospital
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
-
- Emergency Medicine Physician
- Idabel, OK
- NPI 1235431107
-
dba Seminole Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Seminole, OK
- NPI 1144278920
-
- Emergency Medicine Physician
- Hot Springs, AR
- NPI 1255388351
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1457636706
-
- Emergency Medicine Physician
- Truth Or Consequences, NM
- NPI 1013966613
-
- Emergency Medical Services (Emergency Medicine) Physician
- Helena, AR
- NPI 1083664783
-
dba Mt. San Rafael Hospital Clinic
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1356390397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179133 N 2600 RD",
"city": "WALTERS",
"state": "OK",
"postal_code": "735723817",
"telephone_number": "580-695-4793",
"fax_number": "580-297-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179133 N 2600 RD",
"city": "WALTERS",
"state": "OK",
"postal_code": "735723817",
"telephone_number": "580-695-4793",
"fax_number": "580-252-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLETT",
"first_name": "MICHAEL",
"middle_name": "HINES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "2734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walters, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.