Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Michael Dietz, PA-C

Individual provider Physician Assistant · NPI 1538943618

Grant Michael Dietz, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10115 E 80th St Ste A
Tulsa, OK 74133-3421
Phone: (918) 994-4400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3111 Azalea Park Dr, Muskogee, OK 74401-2284 — (918) 608-1382

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5700 (OK)

Record details

NPI number1538943618
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESNovember 23, 2025
Certification dateNovember 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Tulsa