Mitzi Blanchard
OMNI MEDICAL GROUP INC


Address: 1421 E 13th St, Tulsa, OK 74120-5207
Phone: 9183826790

Mitzi Blanchard (NPI# 1053770404, PAC ID# 0143519678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370114 ST JOHN MEDICAL CENTER, INC
370235 ST JOHN BROKEN ARROW, INC

Other Locations

Address Phone Organization
1421 E 13th St, Tulsa, OK 74120-5207 9183826790 OMNI MEDICAL GROUP INC

Organization Information

Organization Legal Name OMNI MEDICAL GROUP INC
Physicians 96

Physicians with the same organization

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

Office Location

Street Address 1421 E 13TH ST
City TULSA
State OK
Zip 74120-5207

Physicians in the same zip code

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

Competitor

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City TULSA
Zip Code 74120
Specialty NURSE PRACTITIONER
City + Specialty TULSA + NURSE PRACTITIONER

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Dataset Information

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.

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