NPIMap

Individual provider Active NPI

Matthew Thomas Priest

  • General Practice Physician
  • Tulsa, OK
National Provider Identifier
1447711874
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7124 Issued in OK
Practice address
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone
(918) 582-1980
Fax
(918) 561-1289
NPI assigned
Mar 28, 2019
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 7124 OK Primary

Addresses

Primary practice location

2345 Southwest Blvd
Tulsa, OK 74107-2705

Mailing address

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 582-1980

Other identifiers 2

IdentifierTypeStateIssuer
7124OtherOKLICENSE
200960830AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726000201 OK Practitioner - Osteopathic Manipulative Medicine 4587045349 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pawhuska Hospital IncGroup PAC ID 7012906548, 13 clinicians

Practice addresses (Care Compare)

1101 E 15TH St
Pawhuska, OK 74056-1901
Phone (918) 287-3232

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince May 1, 2025 Accepting new patients
Pawhuska Hospital, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc General Practice CurrentSince Sep 1, 2024 Accepting new patients
Seiling Municipal Hospital Authority Current Accepting new patients
Carnegie Tri-County Municipal Hospital Management, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Pawhuska Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

101 W Ash St
Carnegie, OK 73015
Phone (580) 654-1154

102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050

1101 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

1109 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232

809 NE Highway 60
Seiling, OK 73663
Phone (580) 377-1005

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carntri-0870329c
  • FHIR API: https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701
  • Direct secure messaging: matthew.priest@pfmc2020.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1447711874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741072705",
            "telephone_number": "918-582-1980",
            "fax_number": "918-561-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741072705",
            "telephone_number": "918-582-1980",
            "fax_number": "918-561-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEST",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "7124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7124",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200960830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.