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

Mr. Matthew R Patton, PA

Individual provider Physician Assistant · NPI 1164758496

Mr. Matthew R Patton, PA is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2009, 17 years ago. Practices with Southside Dermatology PLLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
17
Licensed in
OK
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

720 W 71st St
Tulsa, OK 74132-1895
Phone: (918) 760-0700
Fax: (918) 900-2654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3300 S Aspen Ave Ste A, Broken Arrow, OK 74012-7501 — (918) 770-4599
  • 333 S 38th St Ste F, Muskogee, OK 74401-4937 — (918) 840-5276

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2664 (OK)

Record details

NPI number1164758496
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 21, 2009
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southside Dermatology Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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