Organization Active NPI

Deborah S Blalock

  • Gastroenterology Physician
  • Oklahoma City, OK
National Provider Identifier
1427091271
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DEBORAH S BLALOCK
Practice address
608 NW 9TH St
Suite 6110
Oklahoma City, OK 73102-1049
Phone
(405) 272-6909
Fax
(405) 231-3723
NPI assigned
Jun 13, 2006
Last updated
Jun 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Deborah S Blalock, MD
Title
President
Phone
(405) 272-6909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

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

Mailing address

PO Box 60248
Oklahoma City, OK 73146-0248
Phone (405) 231-3857

Other identifiers 1

IdentifierTypeStateIssuer
200079450AMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1427091271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60248",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731460248",
            "telephone_number": "405-231-3857",
            "fax_number": "405-942-7743"
        },
        {
            "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": {
        "organization_name": "DEBORAH S BLALOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-272-6909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200079450A",
            "state": "OK"
        }
    ],
    "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 Jun 4, 2010; 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.