Bert E Blackwell (NPI# 1649221177, PAC ID# 3072709989) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649221177 |
| PAC ID by PECOS | 3072709989 |
| Professional Enrollment ID | I20101117001567 |
| Full Name | Bert E Blackwell |
| Organization Legal Name | CREOKS MENTAL HEALTH SERVICES |
| Address |
4103 S Yale Ave Suite B Tulsa OK 74135-6002 |
| Phone Number | 9183827300 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0749591469 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1313 E 20th St, Okmulgee Indian Health Center, Okmulgee, OK 74447-6303 | 9185915700 | CREEK NATION HOSPITAL AND CLINICS |
| 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 | 9183827300 | CREOKS MENTAL HEALTH SERVICES |
| Organization Legal Name | CREOKS MENTAL HEALTH SERVICES |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satwant Tandon | Psychiatry | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Kama R Gettings | Nurse Practitioner | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Joyce Bumgardner | Family Medicine | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Dawn M Lafromboise | Psychiatry | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| William B Obrien | Internal Medicine | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Stacy E Ahmed | Nurse Practitioner | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Street Address |
4103 S YALE AVE SUITE B |
| City | TULSA |
| State | OK |
| Zip | 74135-6002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satwant Tandon | Psychiatry | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Kama R Gettings | Nurse Practitioner | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Joyce Bumgardner | Family Medicine | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Dawn M Lafromboise | Psychiatry | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| William B Obrien | Internal Medicine | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Stacy E Ahmed | Nurse Practitioner | Creoks Mental Health Services | 4103 S Yale Ave, Suite B, Tulsa, OK 74135-6002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald R Barney | Family Medicine | 5906 E 31 St St, Suite 2, Tulsa, OK 74135 | |
| Joanne L Alderman | Clinical Nurse Specialist | 4134 E 31st St, Tulsa, OK 74135-1511 | |
| Robert Fenell | Chiropractic | 3515 E 31st St, Suite B, Tulsa, OK 74135-1520 | |
| Jeff R Finkenstaedt | Podiatry | 3540 E 31st St, Suite 2, Tulsa, OK 74135-1526 | |
| Marcia L Gran | Chiropractic | 3540 E 31st St, Suite 1, Tulsa, OK 74135-1526 | |
| Sabrina Nicole Cutright | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Carl D Radloff | Chiropractic | Peoria Medical LLC | 3345 S Harvard, Suite 101, Tulsa, OK 74135-1800 |
| Trevor Ryan Mckay | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Megan Mckinney | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Ryan Matthew Smith | Physical Therapy | Orthopedic Physical Therapy Specialists, Pllc | 3345 S Harvard Ave, Suite 101, Tulsa, OK 74135-1800 |
| Find all physicians in zip 74135 | |||
| City | TULSA |
| Zip Code | 74135 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TULSA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Bert E Blackwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.