BLAKE A LITTLE (NPI# 1386688778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386688778 |
| Entity Type | Individual |
| Full Name | BLAKE A LITTLE |
| Credential | M.D. |
| Practice Address |
1120 S Utica Ave Tulsa OK 74104-4012 |
| Mailing Address |
1145 S Utica Ave Ste 110 Tulsa OK 74104-4013 |
| Practice Telephone | 9185791000 |
| Practice Fax Number | 9185791218 |
| Mailing Telephone | 9185793826 |
| Mailing Fax Number | 9185791262 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
16264 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100178780A | 05 | |
| MO | 206894506 | 05 | |
| AR | AR BLUE CROSS | 55425 | 01 |
| KS | KS BLUE CROSS | 0000205533 | 01 |
| KS | 2050549604 | 05 | |
| KS | 100156240H | 05 | |
| AR | 121409001 | 05 |
| Street Address |
1120 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214497 | Shawn D Grant | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2005-06-13 |
| 1689289910 | Wound Integrity Oklahoma Pa | Family Medicine | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-09-14 |
| 1902428097 | Samantha Beck | Student in an Organized Health Care Education/Training Program | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-05-11 |
| 1447883632 | Jennifer Knowlton | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-02-17 |
| 1902443344 | Geoffrey Hopkins | Nurse Anesthetist, Certified Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-12-04 |
| 1598307902 | Patrick Brennan | Physical Therapy Assistant | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-10-17 |
| 1215578497 | Ashley Wing | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4090 | 2019-09-30 |
| 1033768197 | Dawna Lynnette Hendrix | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-09-10 |
| 1417502212 | Jeffrey Jackson | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-08-08 |
| 1952954349 | Janis Elaine Jeffus | Speech-Language Pathologist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154740645 | Ali Cheema | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2014-04-10 |
| 1194971895 | Naziha Malik | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2008-08-13 |
| 1366608663 | Tulsa Lung Center Pllc | Internal Medicine | 8803 S 101st East Ave, Suite 395, Tulsa, OK 74133-5726 | 2008-08-06 |
| 1588858914 | Sudheer V Nambiar | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-08-29 |
| 1558567479 | Timothy Nokes | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2007-06-26 |
| 1619099595 | Mohammad Al-hamed | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136 | 2007-04-04 |
| 1710001771 | Ghassan Tawil | Internal Medicine | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2007-03-16 |
| 1144315359 | Alaa Aldeen Alrabbat | Internal Medicine | 8803 S 101st East Ave, Suite 395, Tulsa, OK 74133-5726 | 2006-10-04 |
| 1043222532 | Kevin Lane Lewis | Internal Medicine | 1265 S Utica Ave, Third Floor, Tulsa, OK 74104-4243 | 2006-08-12 |
| 1194793505 | Bruce Allen Barton | Internal Medicine | 1725 E 19th St, Ste 200, Tulsa, OK 74104 | 2006-03-10 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.