Blackwell Hospital Trust Authority

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2281 Issued in OK

Legal business name

BLACKWELL HOSPITAL TRUST AUTHORITY

Practice address

710 S 13TH St
Blackwell, OK 74631-3700

Phone

(580) 363-2311

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Joyce Daniel

Title

Ceo

Phone

(580) 363-2311

Specialties & licenses 10

Addresses

Tax ID family

Blackwell Regional Hospital Trust Authority4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Blackwell Hospital Trust Authority

  • Rural Health Clinic/Center
  • Blackwell, OK
  • NPI 1609355312
  NPD tax ID
• Blackwell Hospital Trust Authority

  • Home Health Agency
  • Blackwell, OK
  • NPI 1629529771
  NPD tax ID
• Blackwell Regional Hospital Trust Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Blackwell, OK
  • NPI 1164973210
  NPD tax ID

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1356859342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720402",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704296",
            "telephone_number": "405-533-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 13TH ST",
            "city": "BLACKWELL",
            "state": "OK",
            "postal_code": "746313700",
            "telephone_number": "580-363-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL HOSPITAL TRUST AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "580-363-2311"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "2281",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2281",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "2281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blackwell Hma LLC
• Blackwell Hma LLC
• Blackwell HMPN, LLC
• Blackwell HMPN, LLC
• Blackwell HMPN, LLC
• Blackwell Hospital Trust Authority
• Blackwell Hospital Trust Authority
• Blackwell Hospital Trust Authority
• Blackwell Pharmacy LLC
• Blackwell Pharmacy LLC

• Internal Medicine Physician in Blackwell, OK
• Providers in Blackwell, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.