Active NPI
Doc Blythe PLLC
- Orthopaedic Surgery of the Spine Physician
- Oklahoma City, OK
National Provider Identifier
1376303289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- DOC BLYTHE PLLC
- Practice address
- 13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431 - Phone
- (405) 418-4500
- Fax
- (405) 418-4501
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Murray
- Title
- Practice Manager
- Phone
- (405) 418-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431
Mailing address
13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431
Phone (405) 418-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1134399090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1376303289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 N WESTERN AVE STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731141431",
"telephone_number": "405-418-4500",
"fax_number": "405-418-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 N WESTERN AVE STE 200",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731141431",
"telephone_number": "405-418-4500",
"fax_number": "405-418-4501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOC BLYTHE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "405-418-4500"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.