Blake E Shockley in Tulsa - Sports Medicine
Blake E Shockley - NPI 1942349758
Blake E Shockley is a Sports Medicine in Tulsa, Oklahoma. Blake E Shockley practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Blake E Shockley is 1942349758. The last update date is 2020-12-15.
Blake E Shockley's current location address is 2488 E 81st St Ste 290, Tulsa, Oklahoma. You can contact this provider via phone number 9189273226 and fax number 9189273193. The mailing address for Blake E Shockley is 2488 E 81st St Ste 290, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake E Shockley |
|---|---|
| Address | 2488 E 81st St Ste 290, Tulsa, Oklahoma |
| Phone Number | 9189273226 |
| Fax Number | 9189273193 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942349758 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
| Address | 2488 E 81st St Ste 290 |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741374265 |
| Phone Number | 9189273226 |
| Fax Number | 9189273193 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 25050 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200162710A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Blake E Shockley by the Centers for Medicare & Medicaid Services?
The Blake E Shockley has been issued the NPI (National Provider Identifier) 1942349758 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Blake E Shockley is geographically located?
The Blake E Shockley is physically situated at the following location: 2488 E 81St St Ste 290, Tulsa, OK, 741374265.
What is the area of specialization for Blake E Shockley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Blake E Shockley is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1942349758 to Blake E Shockley?
The Blake E Shockley received its 1942349758 assignment from the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the details related to Blake E Shockley most recently updated or revised?
The information pertaining to Blake E Shockley, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-15.
NPI Number: 1124025044
Address: 9244 W Atlantic Blvd Apt 1238, Coral Springs, FL