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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806468900 | 05 | |
| OK | 200307780A | 05 |
| Street Address |
4111 S DARLINGTON AVE. STE 700 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-6349 |
| 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 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| 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 | ||||
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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.