Organization Active NPI

Jon W Blaschke MD PC

  • Clinic/Center
  • Oklahoma City, OK
National Provider Identifier
1679717276
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11711 Issued in OK
Legal business name
JON W BLASCHKE MD PC
Practice address
608 NW 9TH St
Suite 4204
Oklahoma City, OK 73102-1049
Phone
(405) 232-3095
Fax
(405) 232-3094
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Jon Word Blaschke, M.D.NPI 1275580268
Title
President
Phone
(405) 232-3095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11711 OK Primary

Addresses

Primary practice location

608 NW 9TH St
Suite 4204
Oklahoma City, OK 73102-1049

Mailing address

608 NW 9TH St
Suite 4204
Oklahoma City, OK 73102-1049
Phone (405) 232-3095

National Provider Directory

National Provider Directory

Locations

608 NW 9th St
Ste 4204
Oklahoma City, OK 73102
Phone (309) 310-1879

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1679717276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "SUITE 4204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021049",
            "telephone_number": "405-232-3095",
            "fax_number": "405-232-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "address_2": "SUITE 4204",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021049",
            "telephone_number": "405-232-3095",
            "fax_number": "405-232-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON W BLASCHKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "BLASCHKE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "WORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-232-3095",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "11711",
            "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 Jun 8, 2009; 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.