Paul G Bizzle, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

3240 Issued in OK

Practice address

327 Hickory Dr
Tahlequah, OK 74464-5115

Phone

(918) 453-0023

Fax

(918) 453-0023

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Plains Orthopaedic and Sports Medicine Institute

  • Orthopaedic Surgery Physician
  • Tahlequah, OK
  • NPI 1720153315
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1033211941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651799",
            "telephone_number": "918-453-0023",
            "fax_number": "918-453-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HICKORY DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645115",
            "telephone_number": "918-453-0023",
            "fax_number": "918-453-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZZLE",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "3240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200033584",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0516550001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ragan Birckel, FNP-C
• Dennis Richard Bird, DPH
• Jennifer Leigh Bird
• Pakeezah Bisharat
• Michele Bither-Marshall, OD
• Ladonna Renee Blackbear
• Erin Michelle Blackbird
• Jimmy Blackburn Jr., PHARMD
• Ryan Faye Blankenship, PT, DPT
• James Bloomcamp, ATC

• Orthopaedic Surgery Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.