MARK J BALDECK


Address: 4111 S Darlington Ave., Ste 700, Tulsa, OK 74135-6349
Phone: 9187474975

MARK J BALDECK (NPI# 1295788669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295788669
Entity Type Individual
Full Name MARK J BALDECK
Credential MD
Practice Address 4111 S Darlington Ave.
Ste 700
Tulsa
OK 74135-6349
Mailing Address Po Box 4939
Tulsa
OK 74159-0939
Practice Telephone 9187474975
Practice Fax Number 9187439058
Mailing Telephone 9187438943
Mailing Fax Number 9187439058
Enumeration Date 2006-05-18
Last Update Date 2011-02-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
28100 OK Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
M8668 ID Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
28100 OK Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
M8668 ID Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ID 806468900 05
OK 200307780A 05

Office Location

Street Address 4111 S DARLINGTON AVE.
STE 700
City TULSA
State OK
Zip Code 74135-6349

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761590 Dr. Whitney M. Ellsworth, Dpt, Pllc Physical Therapist 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 2020-08-20
1942839089 Kimberly Renee Gillens Student in an Organized Health Care Education/Training Program 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 2020-04-01
1528525524 Everest Pain Management Clinic/Center 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 2019-02-26
1326524216 Shelley Deeann Anderson Technician 7359 S 68th, Tulsa, OK 74135 2018-07-14
1811489065 Taylor Diane Spears Behavioral Analyst 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 2018-06-04
1225547821 Heather Nicole Freed Counselor 4363 S Harvard Ave, Tulsa, OK 74135 2017-09-26
1306363924 Danielle Walker Case Manager/Care Coordinator 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 2017-08-24
1346766078 Angels Place Day Training, Developmentally Disabled Services 3919 S. Oswego Avenue, Tulsa, OK 74135 2017-08-15
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
1346774197 Brandie Herren Registered Nurse 6333 E Skelly Drive, Tulsa, OK 74135 2017-04-19
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104442292 Direct Medical Imaging LLC Radiology 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 2020-06-24
1386933737 Robert A Skib Md Pllc Radiology 305 S Kenosha Ave, Tulsa, OK 74120-2430 2011-04-06
1639302060 Stephen Arthur Back Radiology 744 W. 9th St., Tulsa, OK 74127 2009-09-02
1427243641 American Radiology Consultants Pllc Radiology 10537 S 92nd East Circle, Tulsa, OK 74133 2007-09-11
1215136361 Colby James Coulson Radiology 7718 E 91st St Ste 220, Tulsa, OK 74133-6064 2007-07-17
1083738199 Us Radiology Partners of Texas Inc Radiology 6129 S Louisville Ave, Tulsa, OK 74136-1502 2007-03-16
1841321668 George Kamp Radiology 6422 S. Indianapolis Place, Tulsa, OK 74136-1421 2007-03-07
1326107624 James R Webb Jr Md PC Radiology 6550 E. 71st Street, Suite 200, Tulsa, OK 74133-2773 2006-12-06
1972675817 Richard Bliss Williams Radiology 2608 E 74th St, Tulsa, OK 74136-5557 2006-11-15
1669405023 John Edward Kauth Radiology 2448 E Admiral Blvd, Tulsa, OK 74110-5323 2006-07-09
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74135

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Dataset Information

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.

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