Individual provider Active NPI

Matthew Dean Davis, DO

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1861454860
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4239 Issued in OK
Practice address
4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229
Phone
(918) 728-6145
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4239 OK Primary

Addresses

Primary practice location

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229

Mailing address

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229
Phone (918) 728-6145

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051111000189 OK Practitioner - Emergency Medicine 4981622495 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Hospital AuthorityGroup PAC ID 2769395185, 27 clinicians

Practice addresses (Care Compare)

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

700 S Telephone Rd
Norman Regional Moore
Moore, OK 73160-2550
Phone (405) 793-9355

Hospital & facility affiliations

  • Norman Regional Hospital, Norman, OK, CCN 370008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Hospital Authority Emergency Medicine CurrentSince Jul 31, 2019 Accepting new patients
Norman Regional Hospital Authority CurrentSince Jul 31, 2019 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Washita Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
Lightstar Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861454860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD",
            "address_2": "STE 919",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465229",
            "telephone_number": "918-728-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S GARNETT RD",
            "address_2": "STE 919",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741465229",
            "telephone_number": "918-728-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.