DR. WILLIAM F. BLACKERBY (NPI# 1447393889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447393889 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM F. BLACKERBY |
| Credential | PH.D. |
| Practice Address |
71 Medical Group 527 Gott Road Vance Afb Enid OK 73705-5105 |
| Practice Telephone | 5802137419 |
| Mailing Telephone | 5802137419 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | P1231 | TN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1231 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1519219 | 05 | |
| TN | CAQH PIN | 12163042 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942243001 | William Blackerby | Emergency Medicine | 434 Hospital Drive, Linville, NC 28646 | 2006-06-14 |
| Street Address |
71 MEDICAL GROUP 527 GOTT ROAD VANCE AFB |
| City | ENID |
| State | OK |
| Zip Code | 73705-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699074013 | Christopher Lee Endres | Military Health Care Provider | 527 Gott Road, Vance Clinic, Vance Afb, OK 73705 | 2011-03-24 |
| 1578128070 | Jason Ruggieri | Psychologist | 527 Gott Road, Bldg 816, Enid, OK 73705-5103 | 2019-05-09 |
| 1831556455 | Jennifer Anne Barclay | Pediatrics | 527 Gott Rd Bldg 810, Enid, OK 73705-5103 | 2016-01-27 |
| 1043200793 | David Barnard | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2005-10-25 |
| 1184225138 | Danielle Young | Social Worker | 527 Gott Rd, Enid, OK 73705-5103 | 2020-11-05 |
| 1598301277 | Anh N Ison | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2019-11-18 |
| 1336792340 | Liam Connall Noone | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-07-18 |
| 1225598980 | Andrew Jonathan Carey | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-03-20 |
| 1801306188 | Scott Lynn Chance | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2017-10-02 |
| 1114458957 | Chang Liu Lipinski | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2017-03-23 |
| Find all providers in zip 73705 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820915 | Ronald Stuart Johnson | Psychologist | 320 Young Rd, 71 Mdos/sgoml Building 248, Enid, OK 73705-5506 | 2005-12-06 |
| 1255517090 | Bpa, P.C. | Psychologist | 1026 N Oakwood Rd, Enid, OK 73703-2924 | 2008-01-10 |
| 1033222120 | Wendi L Betz | Psychologist | 230 W Maple Ave, Enid, OK 73701-4012 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898295 | Jessica Marie Martin | Psychologist | 8804 Nw 127th St, Oklahoma City, OK 73142-8623 | 2020-07-21 |
| 1609415983 | Nicole Marie Kramer | Psychologist | 921 Ne 13th St # 116c, Oklahoma City, OK 73104-5007 | 2020-01-03 |
| 1255979340 | Tulsa Children's Development Center | Psychologist | 6931 S 66th East Ave Ste 200, Tulsa, OK 74133-1765 | 2019-12-19 |
| 1770084600 | Lisa Cromer | Psychologist | 8810 S Yale Ave Ste J, Tulsa, OK 74137-3551 | 2018-02-26 |
| 1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
| 1124557426 | State of Oklahoma - Osu Center for Health Science College of Osteopath | Psychologist | 2488 E 81st St Ste 3700, Tulsa, OK 74137-4290 | 2017-06-08 |
| 1275983082 | Samina Christopher | Psychologist | 2908 W Norman St, Broken Arrow, OK 74012-9511 | 2016-06-13 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1730545153 | Mind Works Consulting and Psychological Services | Psychologist | 11901 N Macarthur Blvd Ste C, Oklahoma City, OK 73162-1806 | 2016-01-14 |
| 1770956781 | Rachel Funk-lawler | Psychologist | 920 Stanton L Young Blvd # Wp3262, Oklahoma City, OK 73104-5036 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
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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.