Matthew Hallett Wiley, D.O.
Anesthesiology in Okmulgee, OK. Individual provider (NPI-1).
NPI number1376830356
StatusActive
Last updated in NPPESJan 3, 2023
Details
- NPI
- 1376830356
- Entity type
- Individual (NPI-1)
- Name
- Matthew Hallett Wiley
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2011
- Certification date
- Jan 3, 2023
- Last updated
- Jan 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 5055 | OK | Yes |
Practice location
1401 Morris DrOkmulgee, OK 74447-6429
Phone 918-758-3177
Mailing address
10614 S Nandina CtJenks, OK 74037-2649
Phone 918-991-5000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Anesthesiology Physician providers in Okmulgee, OK
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.