DR. BERT ERIC BLACKWELL (NPI# 1649221177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649221177 |
| Entity Type | Individual |
| Full Name | DR. BERT ERIC BLACKWELL |
| Other Name | ERIC BLACKWELL |
| Credential | D.O. |
| Practice Address |
4538 S Harvard Ave Tulsa OK 74135-2906 |
| Mailing Address |
1145 S Utica Ave Ste 110 Tulsa OK 74104-4013 |
| Practice Telephone | 9187123377 |
| Practice Fax Number | 9187123373 |
| Mailing Telephone | 9185796863 |
| Mailing Fax Number | 9185796869 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
3343 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 3343 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100188740C | 05 |
| Street Address |
4538 S HARVARD AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699079558 | Bill Huynh | Physician Assistant | 4538 S Harvard Ave, Tulsa, OK 74135-2906 | 2011-01-06 |
| 1275836975 | Breck Sharea Muller | Physician Assistant | 4538 S Harvard Ave, Tulsa, OK 74135-2906 | 2010-12-19 |
| 1326176165 | Wound Care of Tulsa PC | Internal Medicine | 4538 S Harvard Ave, Tulsa, OK 74135-2906 | 2007-03-02 |
| 1063562981 | Lam Le | Internal Medicine | 4538 S Harvard Ave, Tulsa, OK 74135-2906 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620610 | Oklahoma Oasis Hyperbarics, LLC | Emergency Medicine | 120 N Bryant Ave Ste A4, Edmond, OK 73034-6300 | 2019-10-11 |
| 1942454525 | Melissa Alworth | Emergency Medicine | 1219 K Street Nw, Ardmore, OK 73401-0000 | 2008-11-10 |
| 1396146932 | Michael Kalcich Emergency Medical Services Corporation | Emergency Medicine | 3500 Healthplex Pkwy, #102, Norman, OK 73072-9738 | 2014-09-15 |
| 1861826307 | Helping Healing Happen Pllc | Emergency Medicine | 3500 Healthplex Pkwy, Suite 102, Norman, OK 73072-9738 | 2013-09-01 |
| 1245385822 | Elaine Soter | Emergency Medicine | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2007-01-24 |
| 1952377236 | Timothy Hursh | Emergency Medicine | 700 Nw 7th St, Oklahoma City, OK 73102-1212 | 2006-02-27 |
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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.