Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW THOMAS OLIPHANT
DeactivatedMATTHEW THOMAS OLIPHANT is a Athletic Trainer healthcare provider located in FARGO, North Dakota. NPI 1053873802 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · FARGO, ND
This NPI has been deactivated.
The record was deactivated on February 25, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053873802
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2019 (0.89890710382514 yrs)
- Last Updated
- Sep 23, 2025
- Deactivated
- Feb 25, 2020
- License
-
940-22 (ND)
Practice Information
- Address
-
1720 SOUTH UNIVERSITY HOSPITALFARGO, ND, 58103Browse ND providers · Browse ZIP 58103
- Phone
- 7014176000
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| THOMAS MICHAEL PETERSON | ATC | 1891755823 |
| DONALD BRUENJES | ATC | 1881706075 |
| MR. TRAVIS JON SHOCK | ATC | 1689760845 |
| PATRICK ALLEN LACINA | ATC | 1841380011 |
| JENNIFIER R JOHNSRUD | ATC | 1558448373 |
| MR. BRADLEY DEAN REED | ATC | 1154409944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.