Organization Active NPI

Bloomquist Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Blanchard, OK
National Provider Identifier
1053248104
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
BLOOMQUIST FOOT AND ANKLE PLLC
Practice address
8419 Shadow Lake Dr
Blanchard, OK 73010-4026
Phone
(405) 237-9106
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Mitchell Bloomquist, DPMNPI 1891357612
Title
Podiatrist
Phone
(405) 237-9106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

8419 Shadow Lake Dr
Blanchard, OK 73010-4026

Mailing address

8419 Shadow Lake Dr
Blanchard, OK 73010-4026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1053248104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 SHADOW LAKE DR",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730104026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 SHADOW LAKE DR",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730104026",
            "telephone_number": "405-237-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMQUIST FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BLOOMQUIST",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "405-237-9106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.