MRS. SULLIVAN DOUMONT PA NPI 1992163224

NPI Information

NPI: 1992163224
Provider Name: MRS. SULLIVAN DOUMONT, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MATTHEWS-VU MEDICAL GROUP, P.C.

PECOS Registration: Yes

Address:
9917 SE 15TH ST
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 622-2070
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MRS. Sullivan Doumont, PA is a medical physician assistant in Midwest City, OK with 9 years of experience. MRS. Sullivan Doumont, PA NPI is 1992163224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9917 SE 15TH ST
MIDWEST CITY, OK
ZIP 73130-504
Phone: (405) 622-2070

The NPI 1992163224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 11/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA.0006194	COLORADO	Yes
2	363AM0700X	Physician Assistant	Medical	2647	OKLAHOMA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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