Active NPI
Matthew Savoy Dickerson, CRNA
- Certified Registered Nurse Anesthetist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024172891
- Practice address
- 1611 S Utica Ave
Ste 217
Tulsa, OK 74104-4909 - Phone
- (918) 744-3664
- Fax
- (918) 748-7688
- NPI assigned
- Jan 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0024172891 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 107866 | OK | |
| Certified Registered Nurse Anesthetist | 367500000X | RN612087 | PA |
Addresses
Primary practice location
1611 S Utica Ave
Ste 217
Tulsa, OK 74104-4909
Mailing address
1611 S Utica Ave
Ste 217
Tulsa, OK 74104-4909
Phone (918) 744-3664
Other practice location 1
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-7614
Other practice location 2
1201 Sam Perry Blvd Ste 101
Fredericksburg, VA 22401-4490
Phone (540) 741-7614
Other practice location 3
101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone (540) 741-7614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-7614
1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272
19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055
8262 Atlee Rd
Mechanicsville, VA 23116-1816
Phone (804) 764-6000
830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6000
Hospital & facility affiliations
- Bon Secours Memorial Regional Medical Center
- Sentara Norfolk General Hospital
- Mary Washington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107866 | OK | MD | Certified Registered Nurse Anesthetist |
| RN612087 | PA | MD | Certified Registered Nurse Anesthetist |
| 0024172891 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SMG Anesthesia Specialists LLC | Current | Accepting new patients | |
| Commonwealth Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Mary Washington Healthcare Specialty Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dogwood Anesthesia Providers, LLC | Current | Accepting new patients | |
| Gastrointestinal Specialists LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Surgical Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Atlantic Anesthesia, Inc | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| St. John Anesthesia Services, Inc. | Past | Accepting new patients |
Locations
1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614
4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
10800 Midlothian Tpke
Ste 265
North Chesterfield, VA 23235
Phone (804) 594-1383
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000
110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137
101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323
134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044
100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1720181514
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
-
- Anesthesiology Physician
- Fredericksburg, VA
- NPI 1821033010
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Virginia Beach, VA
- NPI 1518205004
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1548275308
-
- Gastroenterology Physician
- Richmond, VA
- NPI 1063516672
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Woodbridge, VA
- NPI 1255986147
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1265446579
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mechanicsville, VA
- NPI 1912969064
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1902136435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 S UTICA AVE",
"address_2": "STE 217",
"city": "TULSA",
"state": "OK",
"postal_code": "741044909",
"telephone_number": "918-744-3664",
"fax_number": "918-748-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S UTICA AVE",
"address_2": "STE 217",
"city": "TULSA",
"state": "OK",
"postal_code": "741044909",
"telephone_number": "918-744-3664",
"fax_number": "918-748-7688"
}
],
"practiceLocations": [
{
"address_1": "1001 Sam Perry Blvd",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014453",
"country_code": "US",
"telephone_number": "540-741-7614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Sam Perry Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224014490",
"country_code": "US",
"telephone_number": "540-741-7614",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Hospital Center Blvd",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225546200",
"country_code": "US",
"telephone_number": "540-741-7614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKERSON",
"first_name": "MATTHEW",
"middle_name": "SAVOY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-06",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024172891",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "107866",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN612087",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.