Active NPI
Sloane Roxanne Blair, MD
- Orthopaedic Surgery Physician
- Lawton, OK
National Provider Identifier
1043282957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- PT14297
- Practice address
- 110 NW 31St Street
2ND Floor
Lawton, OK 73502-0785 - Phone
- (916) 681-8900
- Fax
- (916) 720-0306
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Oklahoma City, OK
- NPI 1588983100
Orthopaedic Surgery of the Spine
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1326095068
Orthopaedic Surgery
-
- Urgent Care Clinic/Center
- Jeffersontown, KY
- NPI 1417001629
-
- General Acute Care Hospital
- Jena, LA
- NPI 1801825005
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1619061116
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT14297 | ND | MD | Orthopaedic Surgery Physician |
| G87085 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians Group - Radiology | Past | Accepting new patients | |
| After Hour Care of Kentuckiana, Inc. | Past | Accepting new patients | |
| Hospital Service District #2 of Lasalle Parish | Past | Accepting new patients | |
| C L Soo MD PC | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Orthopedic and Reconstructive Center P C | Orthopaedic Surgery | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G87085 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | PT14297 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
110 NW 31St Street
2ND Floor
Lawton, OK 73502-0785
Mailing address
PO Box 785
Lawton, OK 73502-0785
Phone (580) 357-9984
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G870850 | Medicaid | CA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2016.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1043282957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "LAWTON",
"state": "OK",
"postal_code": "735020785",
"telephone_number": "580-357-9984",
"fax_number": "580-357-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NW 31ST STREET",
"address_2": "2ND FLOOR",
"city": "LAWTON",
"state": "OK",
"postal_code": "735020785",
"telephone_number": "916-681-8900",
"fax_number": "916-720-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "SLOANE",
"middle_name": "ROXANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G87085",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ND",
"license": "PT14297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G870850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.