BLAKE ALLEN LITTLE, M.D., L.L.C. (NPI# 1659480713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659480713 |
| Entity Type | Organization |
| Organization Name | BLAKE ALLEN LITTLE, M.D., L.L.C. |
| Other Organization Name | BLAKE ALLEN LITTLE, M.D. |
| Practice Address |
5612 E 117th Pl Tulsa OK 74137 |
| Mailing Address |
5612 E 117th Pl Tulsa OK 74137-8528 |
| Practice Telephone | 9185100129 |
| Practice Fax Number | 9182965172 |
| Mailing Telephone | 9185100129 |
| Mailing Fax Number | 9182965172 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | MELISSA K QUALLS (MGMR) |
| Authorized Official Telephone | 9185100129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 40672 | TN | Other Service Providers |
| N | 174400000X | Specialist | 58363 | GA | Other Service Providers |
| N | 174400000X | Specialist | N-8113 | AR | Other Service Providers |
| N | 174400000X | Specialist | 036-106221 | IL | Other Service Providers |
| N | 174400000X | Specialist | 04-25029 | KS | Other Service Providers |
| N | 174400000X | Specialist | 1170 | MN | Other Service Providers |
| N | 174400000X | Specialist | 16264 | OK | Other Service Providers |
| Y | 174400000X | Specialist | R4J98 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KS BLUE CROSS | 0000205533 | 01 |
| MO | MO BLUE CROSS | 150325 | 01 |
| KS | 2050549604 | 05 | |
| OK | A4877801498 | 05 | |
| AR | ARKANSAS BLUE CROSS | 55425 | 01 |
| AR | 121409001 | 05 | |
| MO | 206894506 | 05 | |
| MO | MO BLUE CROSS | 7404 | 01 |
| Other Name | Type Code |
|---|---|
| Blake Allen Little, M.D. | Doing Business As Name - Organization |
| Street Address |
5612 E 117TH PL |
| City | TULSA |
| State | OK |
| Zip Code | 74137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1407266075 | Leoncio Raymond | Specialist | 2217 E 59th Str Apt# 624, Tulsa, OK 74105 | 2014-05-05 |
| 1548682644 | Ladd C. Atkins, D.o., P.l.l.c | Specialist | 9641 Riverside Pkwy, A, Tulsa, OK 74137-7441 | 2014-01-09 |
| 1861732919 | Alisha La'trice Mcconnell | Specialist | 1128 N Braden Ave, Tulsa, OK 74115-6417 | 2013-02-27 |
| 1477892024 | Lavonda D Coffey | Specialist | 145 S 36th West Ave, Tulsa, OK 74127-8123 | 2013-02-01 |
| 1891030169 | Advanced Invasive Pain Management of Houston | Specialist | 3558 E 51st St, Tulsa, OK 74135-3518 | 2012-11-28 |
| 1679825806 | Shannen Michon Peters | Specialist | 1822 E Young St, Tulsa, OK 74110-2050 | 2012-10-11 |
| 1912201641 | Dawn Rochelle Demott | Specialist | 7409 E 84th St, Tulsa, OK 74133-6632 | 2011-01-10 |
| 1740598671 | Me Hoen Smith, PC | Specialist | 4629 S. Harvard, Suite A, Tulsa, OK 74135 | 2010-09-14 |
| 1023329604 | Mark A Birdsong Pllc | Specialist | 1809 E. 13th St., Ste.400, Tulsa, OK 74104-4431 | 2010-06-29 |
| 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.