Mitzi Blanchard (NPI# 1053770404, PAC ID# 0143519678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1053770404 |
PAC ID by PECOS | 0143519678 |
Professional Enrollment ID | I20160523001075 |
Full Name | Mitzi Blanchard |
Organization Legal Name | OMNI MEDICAL GROUP INC |
Address |
1421 E 13th St Tulsa OK 74120-5207 |
Phone Number | 9183826790 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9739080490 |
Number of Group Practice Members | 91 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370114 | ST JOHN MEDICAL CENTER, INC |
370235 | ST JOHN BROKEN ARROW, INC |
Address | Phone | Organization |
---|---|---|
1421 E 13th St, Tulsa, OK 74120-5207 | 9183826790 | OMNI MEDICAL GROUP INC |
Organization Legal Name | OMNI MEDICAL GROUP INC |
Physicians | 96 |
Name | Specialty | Organization | Address |
---|---|---|---|
Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
Kelly R Wratten | Nurse Practitioner | Omni Medical Group Inc | 8115 S Memorial Dr, Tulsa, OK 74133-4331 |
Ana Trujillo | Nurse Practitioner | Omni Medical Group Inc | 4720 S Harvard Ave, Suite 100, Tulsa, OK 74135-3023 |
Michael H Vu | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
Brian T Crotty | Family Medicine | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
David L Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
Michelle Green | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
Monica A Lee | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
Patricia Duffy-feins | Clinical Social Worker | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
Christopher R Klotz | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
Street Address |
1421 E 13TH ST |
City | TULSA |
State | OK |
Zip | 74120-5207 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael D Landers | Sports Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Lori L Franklin | Nurse Practitioner | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Rocky Sowards | Physical Therapy | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Lauren Jennette Moore | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
James H Beebe | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Bren Jelea Ulberg | Clinical Social Worker | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Hannah Hargis | Physical Therapy | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Alton W Rae | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Christopher Crane | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Amanda Lynn Brown | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
Find all physicians in zip 74120 |
City | TULSA |
Zip Code | 74120 |
Specialty | NURSE PRACTITIONER |
City + Specialty | TULSA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mitzi Blanchard.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.