Matt M Blankenship (NPI# 1902950165, PAC ID# 9133211428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1902950165 |
PAC ID by PECOS | 9133211428 |
Professional Enrollment ID | I20070816000143 |
Full Name | Matt M Blankenship |
Organization Legal Name | ADULT GASTROENTEROLOGY ASSOCIATES INC |
Address |
1560 E 21 St Suite 150 Tulsa OK 74114-5644 |
Phone Number | 9184387050 |
Gender | M |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | GASTROENTEROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 0840223921 |
Number of Group Practice Members | 12 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
370049 | STILLWATER MEDICAL CENTER |
370091 | SAINT FRANCIS HOSPITAL, INC |
370026 | ST MARY'S REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1301 W 6th Ave, 108 The Cancer Clinic Lower Level, Stillwater, OK 74074-4377 | 4057424930 | STILLWATER MEDICAL CENTER AUTHORITY |
1560 E 21 St, Suite 150, Tulsa, OK 74114-5644 | 9184387050 | ADULT GASTROENTEROLOGY ASSOCIATES INC |
6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 | 9184387050 | ADULT GASTROENTEROLOGY ASSOCIATES INC |
Organization Legal Name | ADULT GASTROENTEROLOGY ASSOCIATES INC |
Physicians | 12 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary L. Hills | Gastroenterology | Adult Gastroenterology Associates Inc | 1560 E 21 St, Suite 150, Tulsa, OK 74114-5644 |
Brandon A Conkling | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
Markham L Nightengale | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
Aatish M Patel | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
Patrick R Volak | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
Douglas B Kliewer | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
Paul D Stanton | Gastroenterology | Adult Gastroenterology Associates Inc | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7812 |
Jeffery J Blonsky | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
Christian D Clark | Gastroenterology | Adult Gastroenterology Associates Inc | 10507 E 91 St S, Suite 270, Tulsa, OK 74133-5589 |
Kevin M Mcnamara | Gastroenterology | Adult Gastroenterology Associates Inc | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
Street Address |
1560 E 21 ST SUITE 150 |
City | TULSA |
State | OK |
Zip | 74114-5644 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary L. Hills | Gastroenterology | Adult Gastroenterology Associates Inc | 1560 E 21 St, Suite 150, Tulsa, OK 74114-5644 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christina Kendrick | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Ashwini Kamath Vaidya | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Donald R Seidel | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Emily Kollmann | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Kelli A Lovelace | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Johnny Creed Stewart | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
George W Monks | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Mark D Lehman | Dermatology | Tulsa Dermatology Clinic Inc | 2121 E 21st St, Tulsa, OK 74114-1409 |
Ryan N Anson | Chiropractic | Recover LLC | 1876 Utica Sq, Suite 1b, Tulsa, OK 74114-1452 |
Genevieve Eskridge | Physical Therapy | Recover LLC | 1876 Utica Sq, Suite 1b, Tulsa, OK 74114-1452 |
Find all physicians in zip 74114 |
City | TULSA |
Zip Code | 74114 |
Specialty | GASTROENTEROLOGY |
City + Specialty | TULSA + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Matt M Blankenship.
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.