James Mattison Blalock, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

12285 Issued in OK

Practice address

608 NW 9TH St
Suite 6110
Oklahoma City, OK 73102-1049

Phone

(405) 272-6909

Fax

(405) 231-3723

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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 Medicine

Practice roles

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.

• Deborah S Blalock

  • Gastroenterology Physician
  • Oklahoma City, OK
  • NPI 1427091271
  NPD (past)
• SSM Healthcare of Oklahoma Inc

  dba Joyful Beginnings Obstetrical Care

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
  • NPI 1023297991
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1093754251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269086",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73126",
            "telephone_number": "405-231-3857",
            "fax_number": "405-272-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "SUITE 6110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021049",
            "telephone_number": "405-272-6909",
            "fax_number": "405-231-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "JAMES",
        "middle_name": "MATTISON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "12285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071500B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL RAILROAD MCARE",
            "identifier": "P00332846",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Rechell Blalack
• Rachel Blalack, LCSW
• Abram Blalock
• Billy Blalock III, PHARM D
• Deborah Sue Blalock, MD
• Jessica Dawn Blalock
• Laura Blalock, PTA
• Meredith Winslow Blalock, ND
• Travis Wayne Blalock, M.D.
• Ashlee Nichole Blanchard

• Pulmonary Disease Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pulmonary Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.