Robert Blankenship, MD | |
1923 S Utica Ave, Tulsa, OK 74104-6520 | |
(918) 712-3366 | |
(918) 403-6343 |
Full Name | Robert Blankenship |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1923 S Utica Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023043577 | NPI | - | NPPES |
P00324056 | Other | OK | RR MEDICARE |
100184350A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 12857 (Oklahoma) | Primary |
Entity Name | St John Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Mailing Address | Practice Location Address |
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Robert Blankenship, MD 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 712-3366 | Robert Blankenship, MD 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 712-3366 |
Hope Cordova, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 6465 S Yale Ave Ste 910, Tulsa, OK 74136 Phone: 918-502-3200 Fax: 918-502-3205 | |
Larry J Dullye, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 802 S Jackson Ave, 200, Tulsa, OK 74127 Phone: 918-585-3372 Fax: 918-599-9116 | |
John Franco A Carabello, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 802 S Jackson Ave Ste 200, Tulsa, OK 74127 Phone: 918-582-7711 Fax: 918-583-5831 | |
Shane S. Yamane, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 802 S Jackson Ave Ste 225, Tulsa, OK 74127 Phone: 918-582-7711 Fax: 918-583-5831 | |
Dr. Paul W Kempe, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave Ste 910, Tulsa, OK 74136 Phone: 918-502-3200 Fax: 918-502-3205 | |
Kryston Renee Boyer, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 802 S Jackson Ave Ste 225, Tulsa, OK 74127 Phone: 918-582-7711 Fax: 918-583-5831 |