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NPI Code Detail

MEDICARE: MATTHEW L CARMICHAEL D.O.

MEDICARE: MATTHEW L CARMICHAEL D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician6118OK
2207PE0004XEmergency Medical Services (Emergency Medicine) Physician6118OK
3207Q00000XFamily Medicine Physician18608AR

General Provider Information

NPI Number : 1205147998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW L CARMICHAEL D.O.
Provider Business Mailing Address
First Line : 2488 E 81ST ST STE 2000
Second Line :
City : TULSA
State : OK
Zip : 74137-4224
Country : US
Telephone Number : 918-502-3939
Fax Number :
Provider Business Practice Location Address
First Line : 2488 E 81ST ST STE 2000
Second Line :
City : TULSA
State : OK
Zip : 74137-4224
Country : US
Telephone Number : 918-502-3939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2010
Last Update Date : 11/04/2025

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Directions to “ MATTHEW L CARMICHAEL D.O.” Practice Location

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