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Sean Joseph Mathew

Student in an Organized Health Care Education/Training Program in Tulsa, OK. Individual provider (NPI-1).

NPI number1831830173
StatusActive
Last updated in NPPESApr 4, 2022

Details

NPI
1831830173
Entity type
Individual (NPI-1)
Name
Sean Joseph Mathew
Sex
Male
Sole proprietor
No
Enumeration date
Apr 1, 2022
Certification date
Apr 4, 2022
Last updated
Apr 4, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

2345 Sw Blvd
Tulsa, OK 74107-2705

Phone 918-582-1980 · Fax 918-561-1289

Mailing address

2345 Sw Blvd
Tulsa, OK 74107-2705

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 Student in an Organized Health Care Education/Training Program providers in Tulsa, OK

All 1,721 Student in an Organized Health Care Education/Training Program providers in Tulsa · All 22,692 providers in Tulsa

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