Blackwell HMPN, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLACKWELL HMPN, LLC

Practice address

600 E Grand Ave
Suite 1
Tonkawa, OK 74653-3558

Phone

(580) 628-2138

Fax

(580) 628-2293

NPI assigned

Jul 24, 2013

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Staci Lucius

Title

President

Phone

(239) 552-3575

Specialties & licenses 1

Addresses

Other names 1

• Tonkawa Medical Group Doing business as

Tax ID family

Blackwell HMPN LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Blackwell HMPN, LLC

  • Emergency Medicine Physician
  • Blackwell, OK
  • NPI 1700132404
  NPD tax ID
• Blackwell HMPN, LLC

  • Family Medicine Physician
  • Blackwell, OK
  • NPI 1710233416
  NPD tax ID

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1457793093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD STE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082711",
            "telephone_number": "239-552-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GRAND AVE",
            "address_2": "SUITE 1",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533558",
            "telephone_number": "580-628-2138",
            "fax_number": "580-628-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWELL HMPN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "LUCIUS",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-552-3575"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tonkawa Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alpha 2
• Alpha II, Inc.
• Velma Jean Appleman, R.N.
• Pheoba Ann Bales
• Suzanne Brown, ATC
• Sarah J Campbell, DDS
• City of Tonkawa
• Joyce Daniel, APRN
• Anna Lois Denton

• Family Medicine Physician in Tonkawa, OK
• Providers in Tonkawa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.