BLAKE WILEY PALMER (NPI# 1013066398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013066398 |
| Entity Type | Individual |
| Full Name | BLAKE WILEY PALMER |
| Credential | MD |
| Practice Address |
920 Stanton L Young Blvd Wp 3150 Oklahoma City OK 73104-5020 |
| Mailing Address |
512 Nw 41st St Oklahoma City OK 73118-7026 |
| Practice Telephone | 4052716900 |
| Practice Fax Number | 4052713118 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 24580 | OK | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
24580 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504606 | Blake Palmer | Pharmacist | 733 S Irby St, Florence, SC 29501-5213 | 2019-08-22 |
| 1790269678 | Blake William Palmer | Student in an Organized Health Care Education/Training Program | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-09-18 |
| Street Address |
920 STANTON L YOUNG BLVD WP 3150 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402321 | Alexandra P Ikeguchi | Internal Medicine | 920 Stanton L Young Blvd, Wp 2040, Oklahoma City, OK 73104-5033 | 2005-07-28 |
| 1346859766 | Jeffrey Henry | Registered Nurse | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-07-31 |
| 1861016180 | Austin Clanton | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Williams Pavilion 2040, Oklahoma City, OK 73104 | 2020-06-02 |
| 1003439308 | Taylor Rose Greif | Clinical Neuropsychologist | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-05-20 |
| 1043832033 | Travis Hammett Wilmore | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-05-12 |
| 1912536269 | Delaina Larae Davis | Nurse Practitioner | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-04-07 |
| 1790312916 | Amine Barkat | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2020-03-26 |
| 1245897859 | Theodore Christopher Brisimitzakis | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2019-05-20 |
| 1538725502 | Vishal Amrutlal Patel | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2019-05-15 |
| 1376108340 | Bahram Rabbani | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 | 2019-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| 1093959785 | Sanjay Govind Patel | Urology | 800 Ne 10th St Ste 4300, Oklahoma City, OK 73104-5418 | 2009-04-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.