MARK E. BLUBAUGH (NPI# 1982690319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982690319 |
| Entity Type | Individual |
| Full Name | MARK E. BLUBAUGH |
| Credential | D.O. |
| Practice Address |
1200 N Muskogee Pl Claremore OK 74017-3058 |
| Mailing Address |
Po Box 269024 Oklahoma City OK 73126-9024 |
| Practice Telephone | 9183412556 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3935 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1200 N MUSKOGEE PL |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568458917 | Eric W. Metheny | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-21 |
| 1821084922 | Gary W. Wells | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1609862705 | Ernest R. Williams | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1538155718 | James M. Fitzgerald Jr. | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1437145612 | James M. Fitzgerald Sr. | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1366438715 | Shawn E. Minor | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568458917 | Eric W. Metheny | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-21 |
| 1609864677 | Margie D Ott | Emergency Medicine | 1202 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-10-12 |
| 1821084922 | Gary W. Wells | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1609862705 | Ernest R. Williams | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1538155718 | James M. Fitzgerald Jr. | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1437145612 | James M. Fitzgerald Sr. | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-23 |
| 1366438715 | Shawn E. Minor | Emergency Medicine | 1200 N Muskogee Pl, Claremore, OK 74017-3058 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1578512596 | Medhat S.f. Michael | Emergency Medicine | 1265 E 33rd St, Edmond, OK 73013-6307 | 2006-05-08 |
| 1639137409 | Jerry C Childs Jr. | Emergency Medicine | 1520 Morning Star, Edmond, OK 73034-6579 | 2006-05-02 |
| 1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
| 1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
| 1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
| 1841260015 | Joseph M. Nicholson IIi | Emergency Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-01-23 |
| 1518947100 | Elizabeth S Monnot | Emergency Medicine | 503 S Aspen Ave, Broken Arrow, OK 74012-2296 | 2006-01-19 |
| 1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK E. BLUBAUGH.
| 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.