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Deactivated NPI 1053873802 Deactivated / Inactive NPI Male Practitioner

Matthew Thomas Oliphant

Specialist/Technologist - Athletic Trainer • Fargo, ND

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Matthew Oliphant has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 02, 2019
NPI Deactivation Date February 25, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Matthew Oliphant was a registered Specialist/Technologist - Athletic Trainer practicing in Fargo, ND. Throughout an active medical career spanning 1 years, Matthew Oliphant provided care at the practice location at 1720 SOUTH UNIVERSITY HOSPITAL until profile deactivation on 2020-02-25.

Practice Location & Contact Primary Location

Practice Address

1720 South University Hospital

Fargo, ND 58103

Telephone 7014176000
Associated Practice Facility / Clinic
🏢 Community Mri Services, Llc Facility NPI 1902852973

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
75 Specialists

Practicing in Fargo, ND (238 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-23
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License ND 940-22

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Jason Erpelding , MD

Orthopaedic Surgery - Hand Surgery

NPI 1013131325

Doctor of Medicine (M.D.)

Dr. Brandon Fisher , MD

Orthopaedic Surgery

NPI 1013400605

Doctor of Medicine (M.D.)

Phillip Dewey , PA

Physician Assistant

NPI 1033445093

Physician Assistant

NPI 1033563325

MATRG, Certified Athletic Trainer

Dr. Andrew Glogoza , DO

Family Medicine - Sports Medicine

NPI 1073000527

Doctor of Osteopathic Medicine (D.O.)

Dr. Erik Slette , MD

Orthopaedic Surgery

NPI 1134610132

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location September 23, 2025

Registered at 1720 SOUTH UNIVERSITY HOSPITAL, FARGO, ND 58103 (Tel: 7014176000)

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Updated Business Mailing Address September 23, 2025

Registered at 3223 32ND AVE S, FARGO, ND 581036297

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2025

Specialist/Technologist (License #940-22 in ND)

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Updated Business Mailing Address April 25, 2022

Registered at 100 E UNIVERSITY, MAGNOLIA, AR 717532181 (Tel: 9056447529)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2022

Specialist/Technologist

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Updated Practice Location July 23, 2020

Registered at 100 E UNIVERSITY ST, MAGNOLIA, AR 71753 (Tel: 6605434256)

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Updated Business Mailing Address July 23, 2020

Registered at 114 W SOUTH ST, THE CROSSING ROOM 421A, WARRENSBURG, MO 64093 (Tel: 9078305031)

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Provider Name / Credentials Updated July 23, 2020

Recorded as MATTHEW OLIPHANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2020

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated February 25, 2020

Record deactivated on February 25, 2020

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2019

Registered at 108 W SOUTH ST., WARRENSBURG, MISSOURI 64093 (Tel: 6605434256)

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Updated Business Mailing Address April 02, 2019

Registered at 114 W SOUTH ST, THE CROSSING ROOM 421A, WARRENSBURG, MO 64093 (Tel: 9078305031)

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Provider Name / Credentials Updated April 02, 2019

Recorded as MATTHEW OLIPHANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration April 02, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053873802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: September 23, 2025
Deactivation Date: February 25, 2020
Sole Proprietor: No

Mailing Address

3223 32nd Ave S

Fargo, ND 581036297

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.