Darnell E. Blackmon, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

22856 Issued in OK

Practice address

8660 E 103Rd St
Tulsa, OK 74133-6982

Phone

(918) 830-0059

NPI assigned

Mar 31, 2006

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

Meharry Medical College School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• A-Vow Hospice, Inc.

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
  • NPI 1164580395

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Wound Care, LLC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1396487013
  Medicare reassignment NPD Authorized official
• Institute for Bone and Joint Disorders PC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1376513291
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1831150655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 E 103RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336982",
            "telephone_number": "918-970-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 E 103RD ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741336982",
            "telephone_number": "918-830-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "DARNELL",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "BB7225988",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "22856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TJ Blackburn
• Katie Lynette Blackford
• Julia A Blackfox
• Diane Blackman, MSCCCSLP
• Adam J Blackmon, CRNA
• Kamryn Blackmon
• Chelsea Blackmore
• Carly Blackshear, DO
• Timothy Blackstad, DO
• Bert Eric Blackwell, D.O.

• Orthopaedic Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.