SAMPSON J BLYTHE III (NPI# 1205956851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205956851 |
| Entity Type | Individual |
| Full Name | SAMPSON J BLYTHE III |
| Credential | DC |
| Practice Address |
312 S Broadway Cleveland OK 74020 |
| Practice Telephone | 9183583376 |
| Practice Fax Number | 9183583376 |
| Mailing Telephone | 9183583376 |
| Mailing Fax Number | 9183583376 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2247 | OK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100829970A | 05 | |
| OK | BLUE CROSS BLUE SHIELD | 731237629001 | 01 |
| Street Address |
312 S BROADWAY |
| City | CLEVELAND |
| State | OK |
| Zip Code | 74020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699912048 | Pawnee County Home Health, Inc. | Home Health | 1310 W. Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1427295872 | Cleveland Area Hospital Holdings, Inc. | General Acute Care Hospital | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-07 |
| 1134260961 | Cleveland Chiropractic Clinic Inc | Chiropractor | 312 S Broadway Street, Cleveland, OK 74020 | 2007-02-12 |
| 1932211505 | Gregory Allen Fielding | Optometrist | 107 South Broadway, Cleveland, OK 74020 | 2006-08-31 |
| 1568422509 | Cleveland Healthcare Properties, LLC | General Acute Care Hospital | 1401 W Pawnee, Cleveland, OK 74020 | 2006-03-24 |
| 1801020565 | Cleveland Area Hospital Holdings, Inc. | Emergency Medicine | 1401 West Pawnee, Cleveland, OK 74020 | 2009-05-11 |
| 1881831774 | Cleveland Area Hospital Holdings, Inc. | Medicare Defined Swing Bed Unit | 1401 West Pawnee, Cleveland, OK 74020 | 2009-01-14 |
| 1710528195 | Rhonda Brown | Case Manager/Care Coordinator | 362539 Old Hwy 64, Cleveland, OK 74020-0036 | 2019-10-07 |
| 1891885521 | Cleveland Public Schools | Local Education Agency (LEA) | 600 N Gilbert Ave, Cleveland, OK 74020-1023 | 2006-10-13 |
| 1780155804 | Kelsey Dawn Cottom | Speech-Language Pathologist | 600 N Gilbert Ave, Cleveland, OK 74020-1023 | 2018-12-16 |
| Find all providers in zip 74020 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902455397 | Olivia Miller | Chiropractor | 4645 N Lee Hwy # 1, Cleveland, TN 37312-4042 | 2019-09-09 |
| 1205390853 | Ryan Patrick Tropf | Chiropractor | 6009 Landerhaven Dr Ste G, Cleveland, OH 44124-4192 | 2019-01-29 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1053828863 | Ben Linkel | Chiropractor | 4834 Richmond Rd, Cleveland, OH 44128-5963 | 2018-01-02 |
| 1760918973 | Cleveland Accident Rehab, LLC | Chiropractor | 3109 W 25th St, Cleveland, OH 44109-1635 | 2017-05-08 |
| 1609246164 | Eric Wolk | Chiropractor | 1810 W 25th St, #1, Cleveland, OH 44113-3152 | 2015-09-28 |
| 1386052405 | Shaker Boulevard Rehab Group LLC | Chiropractor | 11811 Shaker Blvd Ste 309, Cleveland, OH 44120-1927 | 2014-08-01 |
| 1760810246 | Leland W Wear | Chiropractor | 755 Broad St Nw Ste C, Cleveland, TN 37311-2248 | 2013-10-22 |
| 1922369271 | Joint Effort Chiropractic, Inc. | Chiropractor | 1500 W 3rd St, #550, Cleveland, OH 44113-1467 | 2012-06-04 |
| 1912267543 | Downtown Cleveland Injury & Therapy Center, LLC | Chiropractor | 1419 West 9th Street, Cleveland, OH 44113 | 2012-05-16 |
| Find all providers in CLEVELAND | ||||
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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.