BLICK MEDICAL LLC (NPI# 1467976654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467976654 |
| Entity Type | Organization |
| Organization Name | BLICK MEDICAL LLC |
| Practice Address |
1710 W 3rd St Ste 100 Elk City OK 73644-5160 |
| Practice Telephone | (405) 209-8335 |
| Practice Fax Number | 5802255423 |
| Mailing Telephone | 4052098335 |
| Mailing Fax Number | 5802255423 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | BRIAN BLICK (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 4052098335 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200734120A | 05 |
| Street Address |
1710 W 3RD ST STE 100 |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356782304 | Jayne Ann Bentley | Nurse Practitioner | 1710 W 3rd St Ste 100, Elk City, OK 73644-5160 | 2013-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657590 | Advanced Pain Management Center of Oklahoma, LLC | Anesthesiology | 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 | 2018-01-24 |
| 1306229422 | Morgan Vanderlick Quality Pain Management, LLC | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | 2015-07-07 |
| 1841692274 | Precision Pain Management LLC | Anesthesiology | 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 | 2014-09-17 |
| 1922341635 | Physician's Acupuncture, LLC | Anesthesiology | 105 S Bryant Ave Ste 404, Edmond, OK 73034-6331 | 2013-04-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1578880225 | Patricia Eugenie Jumelle | Anesthesiology | 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 | 2010-04-20 |
| 1538482146 | George Alhaj Md, PC | Anesthesiology | 517 Nw 154th St, Edmond, OK 73013-1154 | 2010-03-10 |
| 1518129733 | Adam Joseph Wallace | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2008-06-29 |
| 1851551790 | Shawn Michael Ellis | Anesthesiology | 4345 W Memorial Rd Ste 110, Oklahoma City, OK 73134-1717 | 2008-06-13 |
| 1851581185 | Emad Samir Attallah-wasif | Anesthesiology | 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 | 2007-08-01 |
| 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.