National Provider Identifier Database

JENNIFER MATHIS, MD – NPI #1548304892
Addiction Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.


Contact Information

JENNIFER MATHIS, MD
1400 E DOWNING ST
TAHLEQUAH, OK74464-3324
Phone: 918-456-0641
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2083A0300X
Family Medicine 207Q00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for JENNIFER MATHIS

NPI Number 1548304892
Credentials MD
Entity Individual
Enumeration date 02/19/2007
Last updated 05/26/2026 - About 2 weeks ago
Sole proprietor1 No
Identifiers
  • AZ License #: 54065
  • OK License #: 25428
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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