Blake Wilson (NPI# 1568712768, PAC ID# 7911156104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1568712768 |
| PAC ID by PECOS | 7911156104 |
| Professional Enrollment ID | I20121003000477 |
| Full Name | Blake Wilson |
| Organization Legal Name | ANESTHESIA MANAGEMENT SOLUTIONS OF OKLAHOMA PLLC |
| Address |
1800 W University Blvd Durant OK 74701-3006 |
| Phone Number | 5809312270 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7618219213 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| 370014 | ALLIANCEHEALTH DURANT |
| Address | Phone | Organization |
|---|---|---|
| 1800 W University Blvd, Durant, OK 74701-3006 | 5809312270 | ANESTHESIA MANAGEMENT SOLUTIONS OF OKLAHOMA PLLC |
| 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 9184261800 | BLUE SKY ANESTHESIA PLLC |
| Organization Legal Name | ANESTHESIA MANAGEMENT SOLUTIONS OF OKLAHOMA PLLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard L Clark | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Marion S Legros | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 1800 W University Blvd, Durant, OK 74701-3006 |
| Barbara Scalet | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Timothy J Mcfarland | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Christopher L Ward | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 1800 W University Blvd, Durant, OK 74701-3006 |
| Bryan K Daniels | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 901 S 5th Ave, Madill, OK 73446-3640 |
| Brandie Hinton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 1800 W University Blvd, Durant, OK 74701-3006 |
| Street Address |
1800 W UNIVERSITY BLVD |
| City | DURANT |
| State | OK |
| Zip | 74701-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe L Niehus | Diagnostic Radiology | Sherman Radiology Associates | 1800 W University Blvd, Durant, OK 74701-3006 |
| William Frey | Diagnostic Radiology | Sherman Radiology Associates | 1800 W University Blvd, Durant, OK 74701-3006 |
| Ketti L Eddy | Nurse Practitioner | Durant Hma Physician Management LLC | 1800 W University Blvd, Durant, OK 74701-3006 |
| Satish Ramesh Bagdure | Internal Medicine | Durant Hma Physician Management LLC | 1800 W University Blvd, Durant, OK 74701-3006 |
| Russell M. Huq | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 1800 W University Blvd, Medical Center of Se Oklahoma, Durant, OK 74701-3006 |
| Tabitha Nave | Nurse Practitioner | Oklahoma Emergency Physician Partners Pllc | 1800 W University Blvd, Medical Center of Se Oklahoma, Durant, OK 74701-3006 |
| Thomas Mcgee | Diagnostic Radiology | Sherman Radiology Associates | 1800 W University Blvd, Durant, OK 74701-3006 |
| Casey Worsham | Nurse Practitioner | Oklahoma Emergency Physician Partners Pllc | 1800 W University Blvd, Medical Center of Se Oklahoma, Durant, OK 74701-3006 |
| Ashley Renee Smalling | Nurse Practitioner | Oklahoma Emergency Physician Partners Pllc | 1800 W University Blvd, Medical Center of Se Oklahoma, Durant, OK 74701-3006 |
| Marion S Legros | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Solutions of Oklahoma Pllc | 1800 W University Blvd, Durant, OK 74701-3006 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather D Marcum | Nurse Practitioner | Family Care Center of Durant PC | 2149 Ed F Davis Rd, Durant, OK 74701-1053 |
| Robert Wolff | Chiropractic | 2150 Ed F Davis Rd, Durant, OK 74701-1053 | |
| Kristy M Smothers | Nurse Practitioner | Family Care Center of Durant PC | 2149 Ed F Davis Rd, Durant, OK 74701-1053 |
| Kip J Francis | Chiropractic | 1705 N Washington Ave, Suite B, Durant, OK 74701-2100 | |
| Janna Marie Cottingame | Chiropractic | 1259 N Washington Ave, Durant, OK 74701-2119 | |
| Jeffery L Cottingame | Chiropractic | Total Health and Wellness Center Inc | 1259 N Washington Ave, Durant, OK 74701-2119 |
| Roy Edward Lehman | Ophthalmology | Rgb Eye Associates Pa | 1501 N Washington Ave, Durant, OK 74701-2127 |
| Janee M Standifer | Qualified Speech Language Pathologist | 1317 N 16th Ave, The Spot 1212, Durant, OK 74701-2134 | |
| Rafael A Ortiz-colberg | Plastic and Reconstructive Surgery | Healogics Specialty Physicians of Oklahoma Pllc | 1400 Bryan Dr, Suite 205, Durant, OK 74701-2141 |
| Sandy George | Internal Medicine | Healogics Specialty Physicians of Oklahoma Pllc | 1400 Bryan Dr, Suite 205, Durant, OK 74701-2141 |
| Find all physicians in zip 74701 | |||
| City | DURANT |
| Zip Code | 74701 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DURANT + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Blake Wilson.
| 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.