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

Matthew David Vanvalin, PA-C

Individual provider Physician Assistant · NPI 1417463969

Matthew David Vanvalin, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2017, 9 years ago. Practices with Integrated Rehab Consultants LLC, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7707 S Memorial Dr
Tulsa, OK 74133-3643
Phone: (872) 231-3162
Fax: (702) 977-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2874 (OK)

Record details

NPI number1417463969
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2017
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Integrated Rehab Consultants Llc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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