ROBERT V BLAKEBURN MD PC NPI 1033106448

NPI Information

NPI: 1033106448
Provider Name: ROBERT V BLAKEBURN MD PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
800 FRISCO AVE
CLINTON, OK
ZIP 73601
Phone: (580) 323-2700
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ROBERT V BLAKEBURN MD PC is a family medicine in Clinton, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROBERT V BLAKEBURN MD PC NPI is 1033106448. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 FRISCO AVE
CLINTON, OK
ZIP 73601-306
Phone: (580) 323-2700
Fax: (580) 323-2718

The provider's authorized official is Robert Van Blakeburn .
The authorized official title is President/owner and has the following contact phone number (580) 323-2700.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 8/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		17199	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F20172	MEDICARE UPIN
2	300522162	MEDICARE PIN	OKLAHOMA
3	100110960C	MEDICAID	OKLAHOMA
4	DF6022	MEDICARE PIN
5	=========001	OTHER	OKLAHOMA	BCBS OF OK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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