DR. BLAKE JUSTIN LESSELROTH (NPI# 1801997390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801997390 |
| Entity Type | Individual |
| Full Name | DR. BLAKE JUSTIN LESSELROTH |
| Credential | MD, MBI |
| Practice Address |
4502 E 41st St Tulsa OK 74135-2536 |
| Mailing Address |
1414 E 39th St Apt 2-349 Tulsa OK 74105-3343 |
| Practice Telephone | 9186603596 |
| Mailing Telephone | 9713033627 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34337 | OK | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD24554 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
4502 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378735 | Nancy C. Brahm | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-2553 | 2005-07-05 |
| 1285247056 | Mason Alexander Kennon | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-08-31 |
| 1578186656 | Scott Louis Puckett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-05-22 |
| 1861012247 | Emily Ann Bolender | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-25 |
| 1760002513 | Nadeem Toujjo El-kouri | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-22 |
| 1962022749 | John Thomas Hiett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-21 |
| 1245859578 | Liuyi Chen | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-16 |
| 1255950713 | Stuart Andrew Jack | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-14 |
| 1447879366 | Thomas Stewart | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| 1689293672 | Ekene Ezenwa | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
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| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688270 | Results Medical Aesthetics LLC | Internal Medicine | 8014 S. 101st E. Ave., Suite 200, Tulsa, OK 74133-4580 | 2018-11-16 |
| 1598175077 | Jm Medical | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105 | 2014-05-05 |
| 1891131223 | Rebecca Thrun | Internal Medicine | 6600 S Yale Ave Ste 800, Tulsa, OK 74136 | 2013-05-13 |
| 1477811321 | Syed Tahsin Ahmed | Internal Medicine | 7356 S Trenton Ave, Tulsa, OK 74136-7357 | 2012-04-30 |
| 1861761660 | Satyabama C Johnson Sr. | Internal Medicine | 3145 East 82 Street, Ok74137, Tulsa, OK 74137 | 2011-12-22 |
| 1447541172 | Kara Marie Beair-butler | Internal Medicine | 5018 E 68th St Ste 200, Tulsa, OK 74136-3338 | 2011-04-28 |
| 1235428921 | John Charles Hervert | Internal Medicine | 9645 Riverside Pkwy Ste C, Tulsa, OK 74137-7427 | 2011-04-04 |
| 1366747149 | Zubair Ashraf | Internal Medicine | 1145 S Utica Ave Ste 1109, Tulsa, OK 74104-4010 | 2011-01-25 |
| 1679892764 | Lindsey Tricinella | Internal Medicine | 3345 S Harvard Ave Ste 201, Tulsa, OK 74135-1809 | 2010-05-27 |
| 1770800435 | South Tulsa Urgent Care LLC | Internal Medicine | 7731 E 91st St, Suite C, Tulsa, OK 74133-6022 | 2010-04-21 |
| 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.